Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Intestinal Helminthic Infections Diagnosed by Colonoscopy in a Regional Hospital during 2001-2008

  • Do, Kyong-Rock (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Cho, Young-Seok (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Hyung-Keun (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Hwang, Byung-Hee (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Shin, Eun-Jung (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Jeong, Hae-Bin (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Sung-Soo (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Chae, Hiun-Suk (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Choi, Myung-Gyu (Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • Received : 2009.12.15
  • Accepted : 2010.01.18
  • Published : 2010.03.15
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Abstract

The present study investigated characteristics of 24 parasite infection cases detected during colonoscopy in a regional hospital from January 2001 to December 2008. Sixteen patients were confirmed with Trichuris trichiura infection, 6 patients were with Ascaris lumbricoides infection, 1 patient with Enterobius vermicularis infection, and 1 patient with Anisakis infection. Among them, 7 patients (43.8%) were asymptomatic. Colonoscopy findings were normal in 18 patients (75.0%). Among the patients with T. trichiura infection, colonoscopy showed several erosions in 2 patients (8.3%) and non-specific inflammation of the affected segment of the colon in 3 patients (12.5%). In 1 patient with anisakiasis, colonoscopy revealed a markedly swollen colonic wall. Stool examinations were performed before treatment in 7 patients (29.2%) and were all negative for parasite eggs or worms. These results suggest that colonoscopy is a useful diagnostic approach for parasitic infections even for asymptomatic patients and for patients with negative stool examinations.

Keywords

References

  1. Ministry of Health and Welfare, Korea Association of Health Promotion. Prevalence of intestinal parasitic infection in Korea-the sixth report. Seoul, Korea.
  2. Kim TS, Cho SH, Huh S, Kong Y, Sohn WM, Hwang SS, Chai JY, Lee SH, Park YK, Oh DK, Lee JK, Working Groups in National Institute of Health and Korea Association of Health Promotion. A nationwide survey on the prevalence of intestinal parasitic infections in the Republic of Korea, 2004. Korean J Parasitol 2009; 47: 37-47. https://doi.org/10.3347/kjp.2009.47.1.37
  3. Rex DK, Johnson DA, Anderson JC, Schoenfeld PS, Burke CA, Inadomi JM, American College of Gastroenterology. American College of Gastroenterology guidelines for colorectal cancer screening 2008. Am J Gastroenterol 2009; 104: 739-750. https://doi.org/10.1038/ajg.2009.104
  4. Ok KS, Kim YS, Song JH, Lee JH, Ryu SH, Lee JH, Moon JS, Whang DH, Lee HK. Trichuris trichiura infection diagnosed by colonoscopy: case reports and review of literature. Korean J Parasitol 2009; 47: 275-280. https://doi.org/10.3347/kjp.2009.47.3.275
  5. Joo JH, Ryu KH, Lee YH, Park CW, Cho JY, Kim YS, Lee JS, Lee MS, Hwang SG, Shim CS. Colonoscopic diagnosis of whipworm infection. Hepatogastroenterology 1998; 45: 2105-2109.
  6. Chandra B, Long JD. Diagnosis of Trichuris trichiura (whipworm) by colonoscopic extraction. J Clin Gastroenterol 1998; 27: 152-157. https://doi.org/10.1097/00004836-199809000-00011
  7. Goenka MK, Chowdhury A, Das K. Appendicular ascariasis: colonoscopic management. Gastrointest Endosc 1999; 50: 435-436. https://doi.org/10.1053/ge.1999.v50.97952
  8. Eckardt AJ, Barnard GF. Endoscopic diagnosis and removal of Ascaris lumbricoides during colonoscopy for polyp surveillance (with video). Gastrointest Endosc 2006; 63: 708-709. https://doi.org/10.1016/j.gie.2005.09.048
  9. Goldenberg SP, Marignani P. The endoscopic diagnosis of colonic enterobiasis. Gastrointest Endosc 1990; 36: 309-310. https://doi.org/10.1016/S0016-5107(90)71034-6
  10. Minamoto T, Sawaguchi K, Ogino T, Mai M. Anisakiasis of the colon: Report of two cases with emphasis on the diagnostic and therapeutic value of colonoscopy. Endoscopy 1991; 23: 50-52. https://doi.org/10.1055/s-2007-1010609
  11. Matsumoto T, Iida M, Kimura Y, Tanaka K, Kitada T, Fujishima M. Anisakiasis of the colon: radiologic and endoscopic features in six patients. Radiology 1992; 183: 97-99. https://doi.org/10.1148/radiology.183.1.1549697
  12. Fishman JA, Perrone TL. Colonic obstruction and perforation due to Trichuris trichiura. Am J Med 1984; 77: 154-156. https://doi.org/10.1016/0002-9343(84)90452-2
  13. Hung HC, Jan SE, Cheng KS, Chu KC, Chien TC. Gastrointestinal bleeding due to whipworm (Trichuris trichiura) infestation. A case report. Chin Med J 1995; 55: 408-411.
  14. Khuroo MS. Ascariasis. Gastroenterol Clin North Am 1996; 25: 553-577. https://doi.org/10.1016/S0889-8553(05)70263-6
  15. Russell LJ. The pinworm, Enterobius vermicularis. Prim Care 1991; 18: 13-24.
  16. Jardine M, Kokai GK, Dalzell AM. Enterobius vermicularis and colitis in children. J Pediatr Gastroenterol Nutr 2006; 43: 610-612. https://doi.org/10.1097/01.mpg.0000243425.01593.58
  17. Montalto M, Miele L, Marcheggiano A, Santoro L, Curigliano V, Vastola M, Gasbarrini G. Anisakis infestation: a case of acute abdo-men mimicking crohn's disease and eosinophilic gastroenteritis. Dig Liver Dis 2005; 37: 62-64. https://doi.org/10.1016/j.dld.2004.05.014
  18. Yoo HJ, Kim SH, Lee JM, Kim MA, Han JK, Choi BI. The association of anisakiasis in the ascending colon with sigmoid colon cancer: CT colonography findings. Korean J Radiol 2008; 9 (suppl): S56-S60. https://doi.org/10.3348/kjr.2008.9.s.s56

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