Cases reported "Ileitis"

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1/3. Eosinophilic ileocolitis secondary to enterobius vermicularis: case report.

    We describe an unusual presentation of enterobius vermicularis infestation. Computed tomography showed wall thickening in the distal ileum and cecum, with fat stranding, ascites and mesenteric adenopathy. Fluoroscopic examination confirmed distal ileal transverse fold thickening. Isolation of enterobius vermicularis in stool and biopsy confirmed the diagnosis. enterobius should be included among the causes of eosinophilic ileocolitis.
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keywords = vermicularis
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2/3. Perforation of the ileum secondary to enterobius vermicularis report of a rare case.

    An isolated ileal perforation is presented in a 12-yr-old patient. Microscopic examination revealed granulomatous inflammation due to enterobius vermicularis (pinworm). This is only the third documented report of intestinal perforation involving pinworms. Although infestation with this parasite is generally considered to be relatively harmless, on rare occasions, it can be a significant cause of morbidity due to its potential ability to invade the tissues.
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keywords = vermicularis
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3/3. Eosinophilic ileocolitis by enterobius vermicularis: a description of two rare cases.

    BACKGROUND: Human enterobiasis is usually mild. Occasionally, however, an "ectopic" disease may occur with a more severe course. Two rare cases of eosinophilic ileocolitis due to enterobius vermicularis infection are reported here. case reports: Case n degree 1 was 46 years old, presenting with fever and bloody diarrhoea. Blood eosinophilia was present. Stool microscopy demonstrated red blood cells and leukocytes. A 2 mm long worm with bilateral cervical wings was found in wet-mount preparations of faecal samples. The Scotch tape test was positive for enterobius vermicularis eggs. colon biopsy specimens showed massive eosinophilic infiltration and a typical pinworm section overlying the infiltrated mucosa. Case n degree 2 was a 24-year-old, anti-hiv negative homosexual, presenting with watery diarrhoea. Tests for malabsorption were negative. Three mm long adult male E. vermicularis were found on stool microscopy. biopsy specimens from the colon showed eosinophilic infiltration. In both cases a 200 mg/day course of oral mebendazole eliminated the symptoms within 3 days. CONCLUSIONS: In these two cases the clinical presentation of enterobiasis was atypical. A common finding was the eosinophilic infiltration of bowel mucosa, although it is still uncertain whether the worm per se may induce mast cell degranulation and eosinophil activation. Nevertheless, the possibility of enterobius vermicularis infection should be considered in the presence of eosinophilic ileocolitis.
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ranking = 1.3333333333333
keywords = vermicularis
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