Erkek üriner traktında enterobius vermicularıs
Enterobius vermicularis intestinal sistemimizde etkili bir nematoddur. Parazitle bulaş enfekte olan insanlarla direkt temasla olur. Erişkinlerde genelde asemptomatik seyreder. Ektopik yerleşimli enfeksiyonlar genelde kadınlarda ve genital traktta gözlenir. Bu olgu sunumunda sık idrara çıkma, üretral kaşıntı şikayeti olan bir erkek hastada ampirik tedavilere dirençli üretrit vakası irdelenmiştir. Hastanın aile anamnezinde çocuğunda anal bölgede kaşıntı şikayeti vardı. Çocuğa yapılan selofan bant testiyle elde edilen örneklerin mikroskopla incelenmesi sonucunda E. vermicularis yumurtalarına rastlandı. Nadir olarak da olsa E. vermicularis erkek genitoüriner traktında görülebilmektedir.
Enterobius vermicularis in the male urinary tract: Case report
Enterobius vermicularis is an intestinal nematode of humans. Transmission with parasites is in direct contact with infected people. Ectopic infections are usually seen in women and genital tracts. We report a case of the patient with pollacuria and dysuria. The patient presented with empirical antibiotic treatment resistant urethtrit. There was anal itching in the patient’s child. Upon this, cellophane test was performed on the child. The microscopic examination of cellophane tape identified the worm as E. vermicularis. E. vermicularis rarely can be seen on the male urinary tract.
___
- 1. Kang S, Jeon HK, Eom KS, Parl JK. Egg positive rate of Enterobius
vermicularis among preschool children in Cheongju,
Chungcheongbuk-do, Korea. Korean J Parasitol 2006; 44:
247-249.
- 2. Song HJ, Cho CH, Kim JS, Choi MH, Hong ST. Prevalence
and risk factors for enterobiasis among preschool children
in a metropolitan city in Korea. Parasitol Res 2003; 91: 46-
50.
- 3. Ok UZ, Ertan P, Limoncu E, Ece A, Ozbakkaloglu B. Relationship
between pinworms and urinary tract infection in
young girls. APMIS 1999; 107: 474-476.
- 4. Tandan T, Pollard AJ, Money DM, Scheifele DW. Pelvic inflammatory
disease associated with Enterobius vermicularis.
Arch DisChild 2002;86: 439-440.
- 5. Burkhart C.N, Burkhart C.G. Assessment of frequency,
transmission, and genitourinary complications of enterobiasis
(pinworms). Int J Dermatol 2005;44: 837-40.
- 6. Avram E, Yakovlevitz M, Schachter A. Cytologic detection
of Enterobius vermicularis and Strongyloides stercoralis in
routine cervicovaginal smears and urocytograms. Acta
cytol 1984;28: 468-70.
- 7. Mayers C.P, Purvis R.J. Manifestations of pinworms. Can
Med Assoc J 1970;103: 489-93 .