DifferencesI Between The Children Infected With Enterobius Vermicularis and Taenia Saginata

Yıl 2018, , 272 - 278, 29.06.2018

Soner Sertan Kara , Burcu Volkan

https://doi.org/10.31832/smj.391999

Cited By: 1

Öz

Objective: Intestinal parasitosis is a major health
problem causing significant morbidities in children, such as malnutrition. It
was aimed to examine the children with Enterobius
vermicularis and
Taenia saginata in this study.

Materials
and methods: We
prospectively evaluated and compared children with E.vermicularis and T.saginata in
terms of symptoms, laboratory parameters, and anthropometric measurements.

Results: Of the 183 children
enrolled, 100 (54.6%) were male. Patients’ ages ranged between 2 and 16 years,
with a mean of 7.8±3.5 years. E.vermicularis
was present in 116 (%63.4) patients and T.saginata
in 67 (36.6%). No difference was determined between the groups in terms of
age, gender, or length of symptoms. Increased appetite was more prevalent in
patients with T.saginata (p=0.008).
Patients with E.vermicularis exhibited
higher eosinophilia and IgE levels (p=0.001 and p=0.01, respectively). The mean
BMI and BMI Z-score of patients with E.vermicularis
were statistically significantly higher than those of the T.saginata group (15.96±2.06 vs.
14.75±2.02 and -0.44±0.98 vs. -1.45±1.35, p<0.0001 for both). Patients with T.saginata were also more underweight
(p=0.003).

Conclusion: Malnutrition despite increased appetite should raise suspicion of T.saginata, while increased levels of
IgE and eosinophil count should attract physicians’ attention to E.vermicularis even
in asymptomatic patients, especially in endemic countries.

Anahtar Kelimeler

child, Enterobius vermicularis, intestinal parasitosis, malnutrition, Taenia saginata

Enterobius Vermicularis ve Taenia Saginata ile Enfekte Çocuklar Arasındaki Farklar

Öz

Amaç: Bağırsak parazitozu çocuklarda  malnütrisyon gibi ciddi morbiditelere yol
açan önemli bir sağlık sorunudur. Bu çalışmada Enterobius vermicularis ve Taenia saginata’sı
olan çocukların değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Enterobius
vermicularis ve Taenia saginata’sı olan çocukları,
semptomları, laboratuvar parametreleri ve antropometrik ölçümleri açısından
prospektif olarak değerlendirip karşılaştırdık.

Bulgular: Dahil edilen 183 çocuğun 100’ü (%54,6) erkekti. Yaşları 2-16
arasında değişen hastaların yaş ortalaması 7,8±3,5 yıldı. E.vermicularis 116 (%63,4), T.saginata 67 (%36.6) hastada mevcuttu.
Gruplar arasında yaş, cinsiyet ve semptom süreleri açısından fark saptanmadı. T.saginata’lı hastalarda iştah artışı
daha sıktı (p=0.008). E.vermicularis’li
hastalarda eozinofili ve IgE düzeyleri daha yüksekti (sırasıyla p=0.001 ve
p=0.01). E.vermicularis’li çocukların
ortalama BMI ve BMI Z-skorları T.saginata’lı
çocuklara göre istatistiksel anlamlı olarak daha yüksekti (15.96±2.06 vs.
14.75±2.02 ve -0.44±0.98 vs. -1.45±1.35, her ikisi için de p<0.0001). Ayrıca
T.saginata’lı çocuklar daha zayıftı
(p=0.003). 

Sonuç: Özellikle endemik
ülkelerde, başka semptomu olmayan hastalarda bile, iştah artışına rağmen
malnütrisyon T.saginata’yı, artmış
IgE ve eozinofili düzeyleriyse E.vermicularis’i
düşündürmelidir. 

Anahtar Kelimeler

çocuk, Enterobius vermicularis, intestinal parazitoz, malnütrisyon, Taenia saginata

Kaynakça

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