Enterobius vermicularis infestation leading to Meckel’s diverticulitis in an adolescent boy: An extremely rare presentation

Manupriya Sharma; Rashmi Kaul; Bal Chander

doi:10.4103/JLP.JLP_142_17

Journal of Laboratory Physicians, Table of Contents

CC BY-NC-ND 4.0 · J Lab Physicians 2018; 10(01): 106-108
DOI: 10.4103/JLP.JLP_142_17

Case Report

Enterobius vermicularis infestation leading to Meckel’s diverticulitis in an adolescent boy: An extremely rare presentation

Manupriya Sharma

Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India

,

Rashmi Kaul

Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India

,

Bal Chander

Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India

› Author Affiliations

Abstract

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Abstract:

Enterobius vermicularis is an intestinal nematode commonly affecting children worldwide. Its transmission is by feco-oral route. Meckel's diverticulitis due to E. vermicularis infestation is an extremely rare presentation. An 11-year-old boy presented with acute abdomen. During surgery inflamed Meckel's diverticulum (M.D) was seen. Histopathology examination of specimen revealed E. vermicularis. Till date, only one case of E. vermicularis infestation of M.D is reported around five decades ago. This histopathological confirmation is extremely important as the required treatment (Mebendazole) of the infected case along with household contacts can prevent the spread of infection and may avoid surgery in known contacts.

Key words

Children - Enterobius vermicularis - Meckel's diverticulitis

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References

References
1 Babady NE, Awender E, Geller R, Miller T, Scheetz G, Arguello H, et al. Enterobius vermicularis in a 14-year-old girl's eye. J Clin Microbiol 2011;49:4369-70.
2 Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: The Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg 2005;241:529-33.
3 Cateau E, Yacoub M, Tavilien C, Becq-Giraudon B, Rodier MH. Enterobius vermicularis in the kidney: An unusual location. J Med Microbiol 2010;59:860-1.
4 Burkhart CN, Burkhart CG. Assessment of frequency, transmission, and genitourinary complications of enterobiasis (pinworms). Int J Dermatol 2005;44:837-40.
5 Singh S, Samantaray JC. Topical anthelmintic treatment of recurrent genitourinary enterobiasis. Genitourin Med 1989;65:284-5.
6 Abramson DJ. Acute appendicitis and a Meckel's diverticulum with Enterobius vermicularis. First reported case. Am Surg 1966;32:343-6.
7 Tseng YY, Yang YJ. Clinical and diagnostic relevance of Meckel's diverticulum in children. Eur J Pediatr 2009;168:1519-23.
8 Medical Letter, Inc. The Medical Letter on Drugs and Therapeutics. Drugs for Parasitic Infections. New Rochelle, NY. The Medical Letter, Inc.; 2010.