Monday, December 6, 2010

Case of the Week 142

The following was seen in tissue sections of an appendix from a 10 year old boy:
(CLICK ON IMAGES TO ENLARGE). Thanks to Dr. Abdel Elhosseiny for sharing this case with us.







Diagnosis?

7 comments:

  1. Enterobius vermicularis!

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  2. D-shape eggs with round worm
    Enterobius vermicularis

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  3. GARDIA LAMBLIA CYCTS

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  4. Enterobius vermicularis

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  5. Enterobius v ermicularis

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  6. This is almost certainly a case of enterobiasis (Enterobius vermicularis). Some diagnostic features which are nicely demonstrated in the appendix cross-sections include alae, intestines, ovaries, and the hard-to-mistake eggs (which I think look like little loaves of bread). Perhaps treatment with a benzimidazole drug or pyrantel pamoate is indicated in this case. Also, prophylactic treatment of close contacts might be warranted, since this poor fellow is a probably a nidus of infection for countless others with whom he physically interacts on a daily basis.

    So, what's the scoop with Enterobius gregorii? Real or fiction?

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