Young, only 15-year-old girl came to the emergency room with severe abdominal pain, a feeling of vomiting and inability to eatwhich are typical symptoms of appendicitis, ie appendicitis. Nevertheless, it was normal body temperature and after initial tests, including blood and imaging examinations, there was nothing that would clearly point to appendicitis. Informs.
Ultrasound of the pelvis showed a small ovarian cyst, and CT examination revealed mild constipation, but nothing that directly indicates appendicitis. After two days, her symptoms worsened and doctors decided to remove the appendix as a preventive step. This is one of the most common causes of abdominal pain, which requires surgery, affecting approximately every 20. Human, especially at the age of 10 to 30 years.
If left untreated, it can lead to the rupture of the appendicitis, which can cause life -threatening infection in the abdominal cavity. After removal of the organ, doctors were shocked when they found enterobius vermicularis in the blind intestine, commonly known as a child. “The appendix infected with crops caused the initial symptoms of the patient and its clinical deterioration,” The medical team from Beckley Appalachian Regional Hospital in Cureus professional magazine. Mrle infections are common, especially in children aged 6 to 15 years.
This kind of worm is very easy to spread through microscopic eggs on contaminated handssurfaces or foods. After ingestion, the eggs in the intestines hatch and adult worms can cause itchy around the rectum, especially at night. In rare cases, mrle can cause more serious complications such as urinary tract infections (UTI). In extreme cases, infections can also cause infections in other parts of the body.
According to the NHS (National Medical Service in the UK), treatment includes a one -time dose of mebendazole, with the second dose recommended after two weeks if there is a suspicion of reinfection. All household members should be treated at the same time, even if they have no symptoms. Strict hygiene measures such as regular hand washing, daily bathing and washing of bed linen and high temperature clothing are very important to prevent reinfection.
The patient was treated with albendazole, another antiparasitic medicine, and completely recovered. Doctors emphasize the importance of taking into account parasitic infections in the diagnosis of abdominal pain, especially when the classic symptoms of appendicitis are missing. “This case shows a diagnostic challenge in clarifying enterobius vermicularis as a likely cause of a patient presented with appendicitis,” the medical team concluded.
