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Enterobius vermicularis in the male urinary tract: a case report.

Zahariou A, Karamouti M, Papaioannou P - J Med Case Rep (2007)

Bottom Line: On examination we found a soft palpable material which was 5 mm diameter in size and spherical shape.An incision was performed and a 4 mm long living worm was found.It is an extremely rare manifestation of enterobius vermicularis infection since an intestinal-breeding worm is rarely found in the male genital tract.

View Article: PubMed Central - HTML - PubMed

Affiliation: "Elpis" Hospital, Urology Department, Volos, Greece. zahariou@otenet.gr.

ABSTRACT
Enterobius vermicularis is an intestinal nematode of humans. Adults usually have low worm burdens and are asymptomatic. Ectopic infections in the pelvic area or urinary tract rarely occur in women. We report a case of the patient with mild voiding difficulties such as urgency, frequency, nocturia, dysuria, mild low back pain or perineal discomfort. The patient's prostatic secretions showed a large number of inflammatory cells and several eggs. The size and the shape of the eggs identified them as a group of E. vermicularis. On examination we found a soft palpable material which was 5 mm diameter in size and spherical shape. Palpation gave the impression of a tissue than a stone. An incision was performed and a 4 mm long living worm was found. The microscopic examination identified the worm as E- vermicularis. It is an extremely rare manifestation of enterobius vermicularis infection since an intestinal-breeding worm is rarely found in the male genital tract.

No MeSH data available.


Related in: MedlinePlus

E. vermicularis eggs (wet mount).
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Figure 1: E. vermicularis eggs (wet mount).

Mentions: On rectal examination, the prostate was normal in size and consistency. The prostatic secretions obtained by prostatic massage showed a number of inflammatory cells (more than 30 white cells per high-power field) but no causative infectious agent was found by culture or other means. Several eggs were observed amongst the inflammatory cells measured 51–59×26–29 μm with one convex side (Figure 1). The size and shape of the eggs identified them as a group of Enterobius vermicularis. On examination of the prostatic secretions we found a soft palpable material which was 5 mm diameter in size and spherical shape. Palpation gave the impression of a tissue than a stone. An incision was performed in this material and a 4 mm long living worm was found. (Figure 2). The microscopic examination identified the worm as Enterobius vermicularis.


Enterobius vermicularis in the male urinary tract: a case report.

Zahariou A, Karamouti M, Papaioannou P - J Med Case Rep (2007)

E. vermicularis eggs (wet mount).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2194705&req=5

Figure 1: E. vermicularis eggs (wet mount).
Mentions: On rectal examination, the prostate was normal in size and consistency. The prostatic secretions obtained by prostatic massage showed a number of inflammatory cells (more than 30 white cells per high-power field) but no causative infectious agent was found by culture or other means. Several eggs were observed amongst the inflammatory cells measured 51–59×26–29 μm with one convex side (Figure 1). The size and shape of the eggs identified them as a group of Enterobius vermicularis. On examination of the prostatic secretions we found a soft palpable material which was 5 mm diameter in size and spherical shape. Palpation gave the impression of a tissue than a stone. An incision was performed in this material and a 4 mm long living worm was found. (Figure 2). The microscopic examination identified the worm as Enterobius vermicularis.

Bottom Line: On examination we found a soft palpable material which was 5 mm diameter in size and spherical shape.An incision was performed and a 4 mm long living worm was found.It is an extremely rare manifestation of enterobius vermicularis infection since an intestinal-breeding worm is rarely found in the male genital tract.

View Article: PubMed Central - HTML - PubMed

Affiliation: "Elpis" Hospital, Urology Department, Volos, Greece. zahariou@otenet.gr.

ABSTRACT
Enterobius vermicularis is an intestinal nematode of humans. Adults usually have low worm burdens and are asymptomatic. Ectopic infections in the pelvic area or urinary tract rarely occur in women. We report a case of the patient with mild voiding difficulties such as urgency, frequency, nocturia, dysuria, mild low back pain or perineal discomfort. The patient's prostatic secretions showed a large number of inflammatory cells and several eggs. The size and the shape of the eggs identified them as a group of E. vermicularis. On examination we found a soft palpable material which was 5 mm diameter in size and spherical shape. Palpation gave the impression of a tissue than a stone. An incision was performed and a 4 mm long living worm was found. The microscopic examination identified the worm as E- vermicularis. It is an extremely rare manifestation of enterobius vermicularis infection since an intestinal-breeding worm is rarely found in the male genital tract.

No MeSH data available.


Related in: MedlinePlus