Presentation
However, causes by malignancy would also be possible when patients presented with passing of blood per rectum. [hindawi.com]
Additionally, twenty transcripts could be identified that code for proteins previously detected by mass spectrometry analysis of protein fractions of the whipworm somatic extract that present immunomodulatory activities. [ncbi.nlm.nih.gov]
Mortality/Morbidity Whipworm infection is rarely fatal and is usually asymptomatic, but symptoms may be present in heavily infected individuals. [emedicine.medscape.com]
Entire Body System
- Developmental Delay
In children, vitamin deficiencies (vitamin A) may contribute to developmental delay and growth retardation. Rectal prolapse may occur in heavily infected hosts. Race Trichuriasis has no racial predilection. [emedicine.medscape.com]
Gastrointestinal
- Rectal Bleeding
Case History A 46-year-old man complained of two episodes of bright red rectal bleeding during the past month. He also had diarrhea intermittently for the past two months associated with visible mucus in the stool. [hindawi.com]
This causes the typical symptoms of rectal bleeding and abdominal pain. The parasite usually takes up residence in the terminal ileum and cecum. In some patients, the entire colon and rectum may be infested with the worm. [ncbi.nlm.nih.gov]
Heavy whipworm infection may cause the insurgence of the so-calledTrichuris dysenteric syndrome (TDS) especially in young children; TDS is characterised by mucoid diarrhoea, rectal bleeding and rectal prolapse complicated with severe bacterial secondary [scielo.br]
Workup
Despite extensive workup no cause could be found for her cirrhosis. She was treated with albendazole for 3 days by which her diarrhoea subsided. [academic.oup.com]
Microbiology
- Toxocara Canis
Treatment of infestations with adult gastrointestinal worms of the following species: roundworms (Toxocara canis and Toxascaris leonina), hookworms (Ancylostoma caninum and Ancylostoma braziliense) and whipworm (Trichuris vulpis). [dictionnaire.reverso.net]
Colonoscopy
- Polyps
Three years previously, he was shown to have a polyp 1 cm in size during a screening colonoscopy. A polypectomy was performed and the microscopic examination revealed a tubular adenoma with high grade atypia. [ncbi.nlm.nih.gov]
Treatment
[…] who become egg-negative after treatment. [clinicaltrials.gov]
In this study, worm expulsion dynamics are described after MBZ treatment, given as a multi-dose and single-dose treatment in two separate T. trichiura self-infection studies. [ncbi.nlm.nih.gov]
The patient was started on oral albendazole treatment and has been asymptomatic on latest followup. [hindawi.com]
Prognosis
Prognosis The prognosis of trichuriasis is excellent with proper treatment; however, without education and changes in behavior/waste management, re-infection is very common. Patient Education Good personal hygiene is highly recommended. [emedicine.medscape.com]
Prognosis The whipworm tends to be more resistant to treatment than other helminths, with some studies listing cure rates as low as 28% to 36%. [ncbi.nlm.nih.gov]
: Effect of Strongyloides stercoralis infection and eosinophilia on age at onset and prognosis of adult T-cell leukemia. Am J Clin Pathol 1997, 107 :81–87. PubMed Google Scholar 36. [link.springer.com]
Etiology
Data FAQs Investigation Reporting Resources Organism, Causative agent, Etiologic agent Trichuriasis is caused by infection with the intestinal nematode Trichuris trichiura. [dshs.texas.gov]
Many people had forgotten about the possible parasitic etiology for diarrheal disease; Giardia lamblia, Entamoeba histolytica, and Trichuris trichiura are among the examples. [hindawi.com]
Etiology The most common cause of trichuriasis is the ingestion of infected eggs that are found in soil. This is often due to poor sanitary conditions, including open defecation and using human feces as fertilizer. [ncbi.nlm.nih.gov]
Epidemiology
Abstract An epidemiological study of intestinal nematodes was conducted with 1,292 children, ranging from birth through 11 yr old, living in the Ranomafana rainforest of southeast Madagascar. [ncbi.nlm.nih.gov]
Cools P Vlaminck J Verweij JJ Levecke B Quantitative PCR in soil-transmitted helminth epidemiology and control programs: toward a universal standard.PLoS Negl Trop Dis. 2021; 15e0009134 Article Info Publication History Published: November 29, 2021 Identification [thelancet.com]
Pathophysiology
Pathophysiology Trichuris, as with Ascaris lumbricoides, is spread via fecal-oral transmission. Eggs are deposited in soil through human feces. After 10-14 days in soil, eggs become infective. [emedicine.medscape.com]
Pathophysiology The worm is acquired through fecal-oral transmission. A human host consumes infected eggs, typically while eating and drinking contaminated food or water. [ncbi.nlm.nih.gov]
Prevention
Following treatment, the education of the patient is vital to prevent a recurrence. [ncbi.nlm.nih.gov]
In 2010, the WHO roadmap for soil-transmitted helminth (STH) infection aimed at widening the preventive chemotherapy coverage for school-aged children, which was mostly achieved with 70% coverage reached in most sub-Saharan African countries by 2017. [thelancet.com]
Prevention The best method for prevention of Trichuriasis is proper disposal of human waste. Avoiding the use of human waste-based fertilizer (night soil) will also decrease the risk of transmission. [dshs.texas.gov]
(Image courtesy of the Centers for Disease Control and Prevention.) Updated by: Jatin M. [medlineplus.gov]