Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis

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Sixty-five cases of enterobiasis of the cecal appendix are reported by Enterobius vermicularis or Oxiurus vermicularis. Enterobiasis is a cosmopolitan parasite5,8,13 and frequent. It is useful to establish whether it can cause appendicitis and the mechanisms involved. According to the classical lite...

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Autores principales: Spitale, Luis Santos, Pizzi, Rogelio Daniel, Tomas, Axel, Paez Rearte, Mirtha Gladys, Pizzi, Hugo Luis
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017
Materias:
Intestinal diseases parasitic
enterobiasis
appendicitis
parasitosis intestinales
apendicitis
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/16860
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-16860
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic Intestinal diseases parasitic
enterobiasis
appendicitis
parasitosis intestinales
enterobiasis
apendicitis
spellingShingle Intestinal diseases parasitic
enterobiasis
appendicitis
parasitosis intestinales
enterobiasis
apendicitis
Spitale, Luis Santos
Pizzi, Rogelio Daniel
Tomas, Axel
Paez Rearte, Mirtha Gladys
Pizzi, Hugo Luis
Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
topic_facet Intestinal diseases parasitic
enterobiasis
appendicitis
parasitosis intestinales
enterobiasis
apendicitis
author Spitale, Luis Santos
Pizzi, Rogelio Daniel
Tomas, Axel
Paez Rearte, Mirtha Gladys
Pizzi, Hugo Luis
author_facet Spitale, Luis Santos
Pizzi, Rogelio Daniel
Tomas, Axel
Paez Rearte, Mirtha Gladys
Pizzi, Hugo Luis
author_sort Spitale, Luis Santos
title Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
title_short Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
title_full Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
title_fullStr Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
title_full_unstemmed Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis
title_sort enterobius vermicularis enteroparasite role in appendicitis cecal: enterobiasis and appendicitis
description Sixty-five cases of enterobiasis of the cecal appendix are reported by Enterobius vermicularis or Oxiurus vermicularis. Enterobiasis is a cosmopolitan parasite5,8,13 and frequent. It is useful to establish whether it can cause appendicitis and the mechanisms involved. According to the classical literature, E. vermicularis is not a causative agent of appendicitis per se, but allows the reproduction of the germs that infiltrate the wall and produce appendicitis5,9,10. The purpose of the study is to report the prevalence of E. Vermicularis in surgical appendicitis and the anatomopathology to deduce a causal relationship. We report a sample of 2000 surgical pieces of extracted appendages (1992-2003) at the Emergency Hospital of the city of Córdoba, Argentina. On a total of 2000 pieces, we observed 65 cases of appendicular enterobiasis; in 60 cases (3.25%) there was no histopathology of acute inflammation (anodyne cecal appendix). In the remaining 5 cases (0.25%) we observed coexistence of parasites in the appendicular lumen, acute transmural inflammatory infiltrates (acute appendicitis) and fecalitos, which would support the obstructive type etiopathogenesis that leads to the surgical picture. The appendicular location of Enterobius vermicularis would favor the formation of fecalitos in light and the proliferation of germs in the wall that would lead to appendicitis. Reports indicate that the parasitic infection constitutes a percentage of the etiologies in appendicitis and fecalitos are the most common trigger, some parasites (Enterobius vermicularis) may be involved in its formation, although this percentage is minimal9,10,15,16,17 .
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2017
url https://revistas.unc.edu.ar/index.php/med/article/view/16860
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first_indexed 2022-08-20T01:24:52Z
last_indexed 2022-08-20T01:24:52Z
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spelling I10-R10-article-168602019-05-20T10:36:47Z Enterobius Vermicularis Enteroparasite role in Appendicitis Cecal: Enterobiasis and appendicitis Rol del enteroparásito enterobius vermicularis en la apendicitis cecal Spitale, Luis Santos Pizzi, Rogelio Daniel Tomas, Axel Paez Rearte, Mirtha Gladys Pizzi, Hugo Luis Intestinal diseases parasitic enterobiasis appendicitis parasitosis intestinales enterobiasis apendicitis Sixty-five cases of enterobiasis of the cecal appendix are reported by Enterobius vermicularis or Oxiurus vermicularis. Enterobiasis is a cosmopolitan parasite5,8,13 and frequent. It is useful to establish whether it can cause appendicitis and the mechanisms involved. According to the classical literature, E. vermicularis is not a causative agent of appendicitis per se, but allows the reproduction of the germs that infiltrate the wall and produce appendicitis5,9,10. The purpose of the study is to report the prevalence of E. Vermicularis in surgical appendicitis and the anatomopathology to deduce a causal relationship. We report a sample of 2000 surgical pieces of extracted appendages (1992-2003) at the Emergency Hospital of the city of Córdoba, Argentina. On a total of 2000 pieces, we observed 65 cases of appendicular enterobiasis; in 60 cases (3.25%) there was no histopathology of acute inflammation (anodyne cecal appendix). In the remaining 5 cases (0.25%) we observed coexistence of parasites in the appendicular lumen, acute transmural inflammatory infiltrates (acute appendicitis) and fecalitos, which would support the obstructive type etiopathogenesis that leads to the surgical picture. The appendicular location of Enterobius vermicularis would favor the formation of fecalitos in light and the proliferation of germs in the wall that would lead to appendicitis. Reports indicate that the parasitic infection constitutes a percentage of the etiologies in appendicitis and fecalitos are the most common trigger, some parasites (Enterobius vermicularis) may be involved in its formation, although this percentage is minimal9,10,15,16,17 . RESUMENSe informan sesenta y cinco casos de enterobiasis del apéndice cecal por Enterobius vermicularis u Oxiurus vermicularis. La enterobiasis es una parasitosis cosmopolita 5, 8,13 y frecuente. Es útil establecer si puede ser causa de apendicitis y los mecanismos involucrados. Según la literatura clásica, E. vermicularis, no es agente causal de apendicitis per se, pero permite la reproducción de los gérmenes que infiltran la pared y producen apendicitis.5, 9,10 El propósito del trabajo es informar la prevalencia de E. vermicularis en apendicitis quirúrgicas y la anatomopatología para deducir una relación causal. Informamos una muestra de 2000 piezas quirúrgicas de apéndices extraídos (1992-2003) en el Hospital de Urgencias de la ciudad de Córdoba, Argentina. Sobre un total de 2000 piezas, observamos 65 casos de enterobiasis apendicular; en 60 casos (3,25 %) no hubo histopatología propia de inflamación aguda (apéndice cecal anodino). En los 5 casos restantes, (0,25 %) observamos coexistencia de parásitos en la luz apendicular, napas de infiltrado inflamatorio agudo transmural (apendicitis aguda) y fecalitos, lo que apoyaría la etiopatogenia de tipo obstructivo que lleva al cuadro quirúrgico. La localización apendicular de Enterobius vermicularis favorecería la formación de fecalitos en la luz y la proliferación de gérmenes en la pared que llevaría a la apendicitis. Reportes señalan que la infección parasitaria constituye un porcentaje de las etiologías en apendicitis y los fecalitos son el desencadenante más común, pudiendo estar implicados en su formación algunos parásitos (Enterobius vermicularis), aunque este porcentaje es mínimo. 9, 10, 15,17 Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-09-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf image/jpeg image/jpeg image/jpeg image/jpeg application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/med/article/view/16860 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 3 (2017); 277-280 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 3 (2017); 277-280 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 3 (2017); 277-280 1853-0605 0014-6722 10.31053/1853.0605.v74.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/16860/19374 https://revistas.unc.edu.ar/index.php/med/article/view/16860/26448 https://revistas.unc.edu.ar/index.php/med/article/view/16860/26449 https://revistas.unc.edu.ar/index.php/med/article/view/16860/26450 https://revistas.unc.edu.ar/index.php/med/article/view/16860/26451 https://revistas.unc.edu.ar/index.php/med/article/view/16860/26452 Derechos de autor 2017 Universidad Nacional de Córdoba

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