J Pediatr Infect Dis 2016; 11(01): 019-022
DOI: 10.1055/s-0036-1587598
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Enterobius vermicularis Infestation with Acute Perforated Suppurative Appendicitis in a Child: Cause or Mere Association?

Sujeet M. Chilkar
1   Department of Pediatric Intensive Care Unit, Ankura Hospital for Women and Children, Hyderabad, Telangana, India
,
Venkat Leelakumar
2   Department of Pediatric Surgery, Ankura Hospital for Women and Children, Hyderabad, Telangana, India
,
Naga Bharati Musthyala
3   Department of Pathology, Ampath Citizens Hospital, Nallagandla, Hyderabad, Telangana, India
› Author Affiliations
Further Information

Publication History

20 May 2016

25 July 2016

Publication Date:
17 August 2016 (online)

Abstract

Acute appendicitis is the commonest cause of surgical emergency, occurring worldwide and affecting all age groups. The pathology is most likely the obstruction of lumen of the appendix due to multifactorial etiology. Acute appendicitis due to helminths and protozoan infection is quite rare. The causal relationship of appendicitis and pinworms (Enterobius vermicularis or oxyuris) remains controversial. Here, we report a case of an 8-year old boy with pinworm discovered inadvertently after appendectomy in a highly inflamed perforated appendix.

 
  • References

  • 1 Leung AK, Sigalet DL. Acute abdominal pain in children. Am Fam Physician 2003; 67 (11) 2321-2326
  • 2 Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol 2004; 21 (2) 86-97
  • 3 Mogensen K, Pahle E, Kowalski K. Enterobius vermicularis and acute appendicitis. Acta Chir Scand 1985; 151 (8) 705-707
  • 4 Arca MJ, Gates RL, Groner JI, Hammond S, Caniano DA. Clinical manifestations of appendiceal pinworms in children: an institutional experience and a review of the literature. Pediatr Surg Int 2004; 20 (5) 372-375
  • 5 Levens AM, Schurink M, Koetse HA, van Baren R. Infestation with Enterobius vermicularis mimicking appendicitis [in Dutch]. Ned Tijdschr Geneeskd 2014; 158: A7371
  • 6 Dent AE, Kazura JW. Enterobiasis. In Kliegman R, Stanton B, St Geme J, Schor N, eds. Nelson Textbook of Pediatrics. Volume 2. First South Asia Edition. Mosby, Churchill: Elsevier; 2015: 1737-1738
  • 7 Waseem M, Simha S. Appendicitis: a rare cause. J Emerg Med 2011; 41 (1) e9-e11
  • 8 Hotchen A, Chin K, Raja M. Nematode infection: a rare mimic of acute appendicitis. Int J Surg Case Rep 2014; 5 (8) 544-546
  • 9 Walshe T, Kavanagh DO, Bennani F, Eustace PW. The escaped worm. J Am Coll Surg 2006; 203 (4) 579
  • 10 Gialamas E, Papavramidis T, Michalopoulos N , et al. Enterobius vermicularis: a rare cause of appendicitis. Turkiye Parazitol Derg 2012; 36 (1) 37-40
  • 11 Chaudhary R, Shukla A, Sharma K , et al. Pin worm causing acute appendicitis: case report. Surgery Curr Res 2016; 6: 265
  • 12 Aydin O. Incidental parasitic infestations in surgically removed appendices: a retrospective analysis. Diagn Pathol 2007; 2: 16
  • 13 Nadler S, Cappell MS, Bhatt B, Matano S, Kure K. Appendiceal infection by Entamoeba histolytica and Strongyloides stercoralis presenting like acute appendicitis. Dig Dis Sci 1990; 35 (5) 603-608
  • 14 Efraimidou E, Gatopoulou A, Stamos C, Lirantzopoulos N, Kouklakis G. Enterobius vermicularis infection of the appendix as a cause of acute appendicitis in a Greek adolescent: a case report. Cases J 2008; 1 (1) 376-378
  • 15 Fleming CA, Kearney DE, Moriarty P, Redmond HP, Andrews EJ. An evaluation of the relationship between Enterobius vermicularis infestation and acute appendicitis in a paediatric population—a retrospective cohort study. Int J Surg 2015; 18: 154-158