AI Article Synopsis

  • The text discusses an intestinal nematode, primarily transmitted through the ingestion of eggs from infected individuals, leading to the most common helminth infection in humans.
  • Infections are often asymptomatic, but can cause perianal itching, and in rare cases, the parasite may be found in non-gastrointestinal locations such as the uterus, as shown in a 2012 case from Croatia involving a 90-year-old woman who had a hysterectomy.
  • The case highlights the importance of considering this parasitic infection in patients with abdominal or genitourinary symptoms to ensure proper diagnosis and treatment, even when no obvious symptoms of infection are present.

Article Abstract

is an intestinal nematode of humans and the most common helminth infection. Main transmission path is direct contact between infected and uninfected person meaning ingestion of the eggs. Human infections are usually asymptomatic or manifest as perianal itching. Although ectopic locations are uncommon, can occasionally be detected in appendix, kidney, male urinary tract and female genital tract. We present a case from Varaždin General Hospital, Varaždin, Croatia in 2012, involving a 90-yr-old female patient who underwent hysterectomy leading to accidental finding of in the uterus despite being asymptomatic for enterobiasis. Since there were no signs and symptoms of parasitic infection, no antiparasitic drugs were administered. Parasite was not observed during macroscopic examination, yet microscopic examination of the material demonstrated helminth within endometrium surrounded by dense inflammatory infiltrate, predominantly lymphocytes and some eosinophils. Internal structures of the parasite were collapsed, while well-developed musculature and cuticle were preserved. We present this case to educate and remind physicians on this parasitosis as possible diagnosis. Although non-gastrointestinal locations of infestation are rare, this infection should be considered in patients with abdominal pain, genitourinary symptoms, and pelvic pain in order to apply appropriate treatment and prevent further complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756315PMC

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