Acute Appendici ̇ ti̇ ̇ s Caused by Enterobius ̇ Vermiculari ̇ s ̇ And Taenia ̇ Spp.: Case Report

Acute Appendici ̇ ti̇ ̇ s Caused by Enterobius ̇ Vermiculari ̇ s ̇ And Taenia ̇ Spp.: Case Report

Acute appendicitis is the most common cause of emergency surgeries, all over the world. Helminths like bacteria and viruses may cause acute appendicitis. However, superinfection of appendix with Enterobius vermicularis and Taenia spp. is very rare. Seventeen-year-old female patient, with abdominal pain underwent appendectomy, with preoperative diagnosis of acute appendicitis. On macroscopic examination, appendectomy specimen was hyperemic and edematous with fecalithes in the dilated lumen. On microscopic examination; proglottides and eggs of Taenia spp. and mature form of Enterobius vermicularis were identified in the lumen, with associated acute appendicitis findings. Here we report a very rare case of concomitant infection of appendix with Taenia spp. and Enterobius vermicularis, which is also the second case in the English literature according to our knowledge.

___

  • 1. da Silva DF, da Silva RJ, da Silva MG, Sartorelli AC, Rodrigues MAM. Parasitic infection of the appendix as a cause of acute appendicitis. Parasitol Res 2007; 102: 99-102.
  • 2. Pasupati TM, Yothasamutr K, Wah MJ, Sherif SET, Palayan K. A study of parasitic infections in the luminal contents and tissue sections of appendix specimens. Tropical Biomedicine 2008; 25: 166-172.
  • 3. Meamar AR, Ahady N, Falakimoghaddam MH, Safari MR, Kia EB. Concomittant infection of appendix with Taenia and Enterobius vermicularis.J Med Sci 2006; 6: 38-40.
  • 4. Aydın Ö. Incidental parasitic infestations in surgically removed appendices: a retrospective analysis. Diagnostic Pathology 2007; 2: 16.
  • 5. Lejbkowicz F, Abel AB, Tsilman B, Cohen HI. Taenia infestation in the appendix: a report of two cases. J Med Microbiol 2002; 51: 90-91.
  • 6. Sartorelli AC, da Silva MG, Rodrigues MAM, da Silva RJ. Appendiceal taeniasis presenting like acute appendicitis. Parasitol Res 2005; 97: 171-172.
  • 7. Wani I, Maqbool M, Amin A, et al. Appendiceal ascariasis in children. 2010; 30: 63-66.
  • 8. Madavo C, Hurriez H. Schistosomiasis of the appendix. J R Soc Med 2006; 99: 473-474.