Trichuriasis B79.x

Authors: Prof. Dr. med. Peter Altmeyer, Prof. Dr. med. Martina Bacharach-Buhles

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Last updated on: 10.04.2021

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Definition
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Worm infection of humans with Trichuris trichiura, the whip worm.

Pathogen
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The worms are 3-5cm long. The female worms living in the large intestine secrete thousands of eggs per day, which are excreted with the stool.

Etiopathogenesis
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Oral recording of the worm eggs.

Clinical features
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Diarrhea, abdominal pain, anemia, perianal itching. Less common is urticaria.

Laboratory
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eosinophilia (19-15%).

Diagnosis
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Microscopic stool examination; colonoscopically higher detection rate.

Internal therapy
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Mebendazole (e.g. Vermox Filmbl.) 3 times/day 200 mg for 3 days or Albendazole (e.g. Eskazole Filmbl.) 400 mg/day for 3 days.

Literature
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  1. Jha AK et al (2017) Clinical correlates of trichuriasis diagnosed at colonoscopy. Indian J Gastroenterol 36: 420-423.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.