PDF(Pubmed)
Abstract：
Trichuriasis is a neglected tropical disease caused by Trichuris trichiura that spreads through the ingestion of embryonated eggs in contaminated soil, water, or food. In nonendemic areas, T trichiura infestation is very rare and sporadic and is often diagnosed in immigrants from endemic countries such as the Philippines. Whipworms feed on human blood and also erode the colonic mucosa, thereby evoking an inflammatory response. In milder forms, trichuriasis can be asymptomatic and often an incidental diagnosis on screening colonoscopy. Heavily infested patients usually present with abdominal pain, nausea, vomiting, tenesmus, chronic diarrhea, iron deficiency anemia, or stunted growth. T trichiura worms can be removed with biopsy forceps during a colonoscopy; however, most patients require a course of albendazole, mebendazole, or ivermectin. We describe a unique case of T trichiura as an incidental finding during a screening colonoscopy. The whipworms were retrieved using biopsy forceps and the patient was treated with albendazole. At the time of the colonoscopy, the patient did not exhibit any specific symptoms related to the worm infestation.
摘要：
毛虫病是一种被忽视的热带病，由毛虫引起，通过摄入受污染土壤中的胚胎卵传播，水,或食物。在非流行地区，Ttrichiura感染是非常罕见和零星的，通常在来自菲律宾等流行国家的移民中被诊断出来。鞭虫以人血为食，也会侵蚀结肠粘膜，从而引起炎症反应。以温和的形式，毛虫病可以是无症状的，通常是结肠镜检查的偶然诊断。大量感染的患者通常表现为腹痛，恶心,呕吐,重弹,慢性腹泻,缺铁性贫血,或发育迟缓。在结肠镜检查期间，可以用活检钳去除胸椎蠕虫；然而，大多数患者需要一个疗程的阿苯达唑，甲苯咪唑,或者伊维菌素.我们描述了Ttrichiura的独特病例，作为筛查结肠镜检查期间的偶然发现。使用活检钳检索鞭虫，并对患者进行阿苯达唑治疗。在结肠镜检查的时候，患者没有表现出与蠕虫感染相关的任何特定症状。
