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Case Report

Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature

Kyung-Sun Ok1, You-Sun Kim1, Jung-Hoon Song1, Jin-Ho Lee1, Soo-Hyung Ryu1, Jung-Hwan Lee1, Jeong-Seop Moon1, Dong-Hee Whang2, Hye-Kyung Lee3
The Korean Journal of Parasitology 2009;47(3):275-280.
Published online: August 28, 2009

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Corresponding author (yousunk69@korea.com)
• Received: March 2, 2009   • Revised: April 22, 2009   • Accepted: May 16, 2009

Copyright © 2009 by The Korean Society for Parasitology

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Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature
Korean J Parasitol. 2009;47(3):275-280.   Published online August 28, 2009
DOI: https://doi.org/10.3347/kjp.2009.47.3.275
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Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature
Korean J Parasitol. 2009;47(3):275-280.   Published online August 28, 2009
DOI: https://doi.org/10.3347/kjp.2009.47.3.275
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Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature
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Fig. 1 (A) Colonoscopic finding of case 1 showing a whitish worm, Trichuris trichiura, with coiled posterior end embedded in the wall of the cecum. (B) Histologic finding of the cecal mucosa of case 1 which reveals eosinophilic infiltration in the lamina propria (H-E stain, original magnification, × 400).
Fig. 2 Colonoscopic finding of case 2 showing a whitish worm, T. trichiura, with coiled posterior end embedded in the wall of the proximal ascending colon.
Fig. 3 Colonoscopic finding of case 3 showing a movable whitish worm, T. trichiura, in the ileocecal valve.
Fig. 4 (A) Colonoscopic finding of case 4 showing a long slender whitish T. trichiura worm in the cecum. (B) A female adult T. trichiura recovered from case 4, showing the intestine and uterine tubules (H-E stain, original magnification, ×40). (C) Barrel-shaped eggs of T. trichiura from case 4 and the body wall consisting of the cuticle, epicuticle, and muscle layer (H-E stain, original magnification, ×400). (D) Moderate eosinophilic infiltration in lamina propria of case 4 (H-E stain, original magnification, ×400).

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Trichuris trichiura Infection Diagnosed by Colonoscopy: Case Reports and Review of Literature
Reported cases Sex Age year Symptoms Stool exam WBC/mm3 (eosinophil%) Colonoscopic finding Microscopic finding Treatment 1 Joo et al. (1998) M 31 Abdominal pain & diarrhea N 9,600 (4%) Cecum/Erosion NA Mebendazole 200 mg 3 days, Colonoscopic extraction 2 Joo et al. (1998) M 48 Abdominal pain OB (+) 11,600 (2.4%) Cecum/Hyperemia Ulcer NA Mebendazole 200 mg 3 days, Colonoscopic extraction 3 Joo et al. (1998) F 34 Abdominal pain & diarrhea OB (+) 8,900 (2%) S-colon/Hyperemia, multiple erosions NA Mebendazole 200 mg 3 days, Colonoscopic extraction 4 Joo et al. (1998) M 70 Abdominal pain & diarrhea N N S-colon/Hyperemia, multiple erosions NA Mebendazole 200 mg 3 days, Colonoscopic extraction 5 Joo et al. (1998) M 55 Abdominal pain N N Cecum/Normal mucosa NA Mebendazole 200 mg 3 days, Colonoscopic extraction 6 Kim et al. (2003) M 45 Decreased stool caliber NA N Cecum/Normal mucosa NA Colonoscopic extraction only 7 Kim et al. (2003) M 52 Lower abdomen discomfort NA 12,500 (N) Cecum/Normal mucosa NA Colonoscopic extraction only 8 Kim et al. (2003) M 48 None NA 8,700 (N) Cecum/Hyperemia NA Colonoscopic extraction only 9 Kim et al. (2003) M 56 None NA 5,900 (N) Cecum/Normal mucosa NA Colonoscopic extraction only 10 This report M 56 None N 5,940 (5.1%) Cecum/Hyperemic edematous mucosa Eosinophilic infiltration, male worm Albendazole 400 mg 3 days, Colonoscopic extraction 11 This report M 46 Lower abdomen discomfort tenesmus NA 5,750 (1.7%) A-colon/Normal mucosa Male worm Albendazole 400 mg 3 days, Colonoscopic extraction 12 This report M 55 Diarrrhea Egg (+) 5,600 (8.0%) IC valve/Normal mucosa Female worm Albendazole 400 mg 3 days, Colonoscopic extraction 13 This report M 49 None Egg (+) 6,590 (NA) Cecum/Normal mucosa Eosinophilic infiltration, female worm Albendazole 400 mg 3 days, Colonoscopic extraction
Table 1. Trichuris trichiura diagnosis at colonoscopic examination in Korea

N, normal; NA, not available; OB, occult blood; S-colon, sigmoid colon; A-colon, ascending colon.

Table 1.

PHD : Parasites, Hosts and Diseases

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