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DifferencesI Between The Children Infected With Enterobius Vermicularis and Taenia Saginata

Yıl 2018, , 272 - 278, 29.06.2018
https://doi.org/10.31832/smj.391999

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.

Kaynakça

  • 1. Alum A, Rubino JR, Ijaz MK. The global war against intestinal parasites—should we use a holistic approach? Int J Infect Dis 2010;14:e732-738.2. Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm. Lancet 2006;367:1521-1522.3. Kucik CJ, Martin GL, Sortor BV. Common intestinal parasites. Am Fam Physician 2004;69:1161-1168.4. Howell J, Brown G. Education and imaging of gastrointestinal beef tape¬worm (Taenia saginata). J Gastroenterol Hepatol 2008;23:17695. Eom KS, Jeon HK, Rim HJ. Geographical distribution of Taenia asiatica and related species. Korean J Parasitol 2009;47:S115-124. 6. Uysal E, Dokur M. The helminths causing surgical or endoscopic abdominal intervention: A review article. Iran J Parasitol 2017;12:156-168. 7. Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, et al. Childhood malnutrition and parasitic helminth interactions. Clin Infect Dis 2014;59:234-243.8. Quihui-Cota L, Valencia ME, Crompton DW, Phillips S, Hagan P, Diaz-Camacho SP, et al. Prevalence and intensity of intestinal parasitic infections in relation to nutritional status in Mexican schoolchildren. Trans R Soc Trop Med Hyg 2004;98:653-659.9. Turkish State Meteorological Service. Available from: http://www.mgm.gov.tr. 10. Neyzi O, Bundak R, Gökçay G, Günöz H, Furman A, Darendeliler F, et al. Reference Values for Weight, Height, Head Circumference, and Body Mass Index in Turkish Children. J Clin Res Pediatr Endocrinol 2015;7:280-293.11. Degarege A, Erko B. Association between intestinal helminth infections and underweight among school children in Tikur Wuha Elementary School, Northwestern Ethiopia. J Infect Public Health 2013;6:125-133.12. Lwanga F, Kirunda BE, Orach CG. Intestinal helminth infections and nutritional status of children attending primary schools in Wakiso District, Central Uganda. Int J Environ Res Public Health 2012;9:2910-2921.13. Ulukanligil M, Seyrek A. Anthropometric status, anaemia and intestinal helminthic infections in shantytown and apartment schoolchildren in the Sanliurfa province of Turkey. Eur J Clin Nutr 2004;58:1056-1061.14. Pawlowski Z, Schultz M. Taeniasis and cysticercosis (Taenia saginata). Advances in Parasitology 1972;10:269–343.15. Tembo A, Craig PS. Taenia saginata taeniosis: copro-antigen time-course in a voluntary self-infection. J Helminthol 2015;89:612-619. 16. Celiksoz A, Kilic E, Yazar S, Saraymen R. Teniasis: effect on element status of children. Biol Trace Elem Res 2006;114:217-223.17. Yazgan S, Cetinkaya U, Şahin I. The investigation of prevalence of Enterobius vermicularis (L.1758) in primary school age children and its relation to various symptoms. Turkiye Parazitol Derg 2015;39:98-102. 18. Vieira Silva CC, Ferraz RR, Fornari JV, Barnabe AS. Epidemiological analysis of eosinophilia and elevation of immunoglobulin E as a predictable and relative risk of enteroparasitosis. Rev Cubana Med Trop 2012;64:22-26.19. Cooper PJ, Ayre G, Martin C, Rizzo JA, Ponte EV, Cruz AA. Geohelminth infections: a review of the role of IgE and assessment of potential risks of anti-IgE treatment. Allergy 2008;63:409-417.20. Pehlivanoğlu B, Doğanavşargil B, Sezak M, Nalbantoğlu İ, Korkmaz M. Gastrointestinal parasitosis: Histopathological insights to rare but intriguing lesions of the gastrointestinal tract. Turk Patoloji Derg 2016;32:82-90.21. Peixoto A, Gonçalves R, Silva M, Gaspar R, Silva R, Portugal R, et al. Eosinophilic ileocolitis due to Enterobius vermicularis infection: a rare cause of anemia. Int J Colorectal Dis 2016;31:743. 22. Risio D, Rendine A, Napolitano L, Schiavone C. Appendicitis by Enterobius vermicularis presenting with recurrent abdominal pain and eosinophilia: A case report. Ann Ital Chir 2016;87. pii: S2239253X16024348.23. Fan PC, Chung WC, Lin CY, Chan CH. Clinical manifestations of taeniasis in Taiwan aborigines. J Helminthol 1992;66:118-123.24. Dorny P, Praet N. Taenia saginata in Europe. Vet Parasitol 2007;149:22-24.25. Manganelli L, Berrilli F, Di Cave D, Ercoli L, Capelli G, Otranto D, et al. Intestinal parasite infections in immigrant children in the city of Rome, related risk factors and possible impact on nutritional status. Parasit Vectors 2012;5:265.26. Brown MD. Images in clinical medicine. Enterobius vermicularis. N Engl J Med 2006;354:e12.27. Maçin S, Kaya F, Çağdaş D, Hizarcioglu-Gulsen H, Saltik-Temizel IN, Tezcan İ, et al. Detection of parasites in children with chronic diarrhea. Pediatr Int 2016;58:531-533.28. Iguchi S, Hirai Y, Ainoda Y, Isoda N, Miura H, Egawa H, et al. Incidental diagnosis of oxyuriasis through a colonoscopy. ID Cases 2016;4:38-40.29. Lõhmus M, Moalem S, Björklund M. Leptin, a tool of parasites? Biol Lett 2012;8:849-852.30. Hazir C, Gündeşli H, Ozkirim A, Keskin N. Distribution of Enterobius vermicularis among the schoolchildren of two primary schools with different social-economic status in the Ankara province. Turkiye Parazitol Derg 2009;33:54-58.31. Nematian J, Nematian E, Gholamrezanezhad A, Asgari AA. Prevalence of intestinal parasitic infections and their relation with socio-economic factors and hygienic habits in Tehran primary school students. Acta Trop 2004;92:179-186.32. Wu CG, Luo XJ, Xie J, Jiang SG, Li SS, Xiao BZ. Prevalence of Enterobius vermicularis infection of children and its influencing factors in Chongqing City. ZhongguoXue Xi Chong Bing Fang ZhiZaZhi 2012;24:703-706.33. Giray H, Keskinoglu P. The prevalence of Enterobius vermicularis in schoolchildren and affecting factors. Turkiye Parazitol Derg 2006;30:99-102. 34. Yoon HJ, Choi YJ, Lee SU, Park HY, Huh S, Yang YS. Enterobius vermicularis egg positive rate of pre-school children in Chunchon, Korea. Korean J Parasitol 2000;38:279-281.35. Quihui L, Valencia ME, Crompton DW, Phillips S, Hagan P, Morales G, et al. Role of the employment status and education of mothers in the prevalence of intestinal parasitic infections in Mexican rural schoolchildren. BMC Public Health 2006;6:225.36. Wang S, Yao Z, Hou Y, Wang D, Zhang H, Ma J, et al. Prevalence of Enterobius vermicularis among preschool children in 2003 and 2013 in Xinxiang city, Henan province, Central China. Parasite 2016;23:30.37. Monárrez-Espino J, Pérez-Espejo CR, Vázquez-Mendoza G, Balleza-Carreón A, Caballero-Hoyos R. Intervention to prevent intestinal parasitic reinfections among Tarahumara indigenous schoolchildren in northern Mexico. Rev Panam Salud Publica 2011;30:196-203.

Enterobius Vermicularis ve Taenia Saginata ile Enfekte Çocuklar Arasındaki Farklar

Yıl 2018, , 272 - 278, 29.06.2018
https://doi.org/10.31832/smj.391999

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. 

Kaynakça

  • 1. Alum A, Rubino JR, Ijaz MK. The global war against intestinal parasites—should we use a holistic approach? Int J Infect Dis 2010;14:e732-738.2. Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm. Lancet 2006;367:1521-1522.3. Kucik CJ, Martin GL, Sortor BV. Common intestinal parasites. Am Fam Physician 2004;69:1161-1168.4. Howell J, Brown G. Education and imaging of gastrointestinal beef tape¬worm (Taenia saginata). J Gastroenterol Hepatol 2008;23:17695. Eom KS, Jeon HK, Rim HJ. Geographical distribution of Taenia asiatica and related species. Korean J Parasitol 2009;47:S115-124. 6. Uysal E, Dokur M. The helminths causing surgical or endoscopic abdominal intervention: A review article. Iran J Parasitol 2017;12:156-168. 7. Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, et al. Childhood malnutrition and parasitic helminth interactions. Clin Infect Dis 2014;59:234-243.8. Quihui-Cota L, Valencia ME, Crompton DW, Phillips S, Hagan P, Diaz-Camacho SP, et al. Prevalence and intensity of intestinal parasitic infections in relation to nutritional status in Mexican schoolchildren. Trans R Soc Trop Med Hyg 2004;98:653-659.9. Turkish State Meteorological Service. Available from: http://www.mgm.gov.tr. 10. Neyzi O, Bundak R, Gökçay G, Günöz H, Furman A, Darendeliler F, et al. Reference Values for Weight, Height, Head Circumference, and Body Mass Index in Turkish Children. J Clin Res Pediatr Endocrinol 2015;7:280-293.11. Degarege A, Erko B. Association between intestinal helminth infections and underweight among school children in Tikur Wuha Elementary School, Northwestern Ethiopia. J Infect Public Health 2013;6:125-133.12. Lwanga F, Kirunda BE, Orach CG. Intestinal helminth infections and nutritional status of children attending primary schools in Wakiso District, Central Uganda. Int J Environ Res Public Health 2012;9:2910-2921.13. Ulukanligil M, Seyrek A. Anthropometric status, anaemia and intestinal helminthic infections in shantytown and apartment schoolchildren in the Sanliurfa province of Turkey. Eur J Clin Nutr 2004;58:1056-1061.14. Pawlowski Z, Schultz M. Taeniasis and cysticercosis (Taenia saginata). Advances in Parasitology 1972;10:269–343.15. Tembo A, Craig PS. Taenia saginata taeniosis: copro-antigen time-course in a voluntary self-infection. J Helminthol 2015;89:612-619. 16. Celiksoz A, Kilic E, Yazar S, Saraymen R. Teniasis: effect on element status of children. Biol Trace Elem Res 2006;114:217-223.17. Yazgan S, Cetinkaya U, Şahin I. The investigation of prevalence of Enterobius vermicularis (L.1758) in primary school age children and its relation to various symptoms. Turkiye Parazitol Derg 2015;39:98-102. 18. Vieira Silva CC, Ferraz RR, Fornari JV, Barnabe AS. Epidemiological analysis of eosinophilia and elevation of immunoglobulin E as a predictable and relative risk of enteroparasitosis. Rev Cubana Med Trop 2012;64:22-26.19. Cooper PJ, Ayre G, Martin C, Rizzo JA, Ponte EV, Cruz AA. Geohelminth infections: a review of the role of IgE and assessment of potential risks of anti-IgE treatment. Allergy 2008;63:409-417.20. Pehlivanoğlu B, Doğanavşargil B, Sezak M, Nalbantoğlu İ, Korkmaz M. Gastrointestinal parasitosis: Histopathological insights to rare but intriguing lesions of the gastrointestinal tract. Turk Patoloji Derg 2016;32:82-90.21. Peixoto A, Gonçalves R, Silva M, Gaspar R, Silva R, Portugal R, et al. Eosinophilic ileocolitis due to Enterobius vermicularis infection: a rare cause of anemia. Int J Colorectal Dis 2016;31:743. 22. Risio D, Rendine A, Napolitano L, Schiavone C. Appendicitis by Enterobius vermicularis presenting with recurrent abdominal pain and eosinophilia: A case report. Ann Ital Chir 2016;87. pii: S2239253X16024348.23. Fan PC, Chung WC, Lin CY, Chan CH. Clinical manifestations of taeniasis in Taiwan aborigines. J Helminthol 1992;66:118-123.24. Dorny P, Praet N. Taenia saginata in Europe. Vet Parasitol 2007;149:22-24.25. Manganelli L, Berrilli F, Di Cave D, Ercoli L, Capelli G, Otranto D, et al. Intestinal parasite infections in immigrant children in the city of Rome, related risk factors and possible impact on nutritional status. Parasit Vectors 2012;5:265.26. Brown MD. Images in clinical medicine. Enterobius vermicularis. N Engl J Med 2006;354:e12.27. Maçin S, Kaya F, Çağdaş D, Hizarcioglu-Gulsen H, Saltik-Temizel IN, Tezcan İ, et al. Detection of parasites in children with chronic diarrhea. Pediatr Int 2016;58:531-533.28. Iguchi S, Hirai Y, Ainoda Y, Isoda N, Miura H, Egawa H, et al. Incidental diagnosis of oxyuriasis through a colonoscopy. ID Cases 2016;4:38-40.29. Lõhmus M, Moalem S, Björklund M. Leptin, a tool of parasites? Biol Lett 2012;8:849-852.30. Hazir C, Gündeşli H, Ozkirim A, Keskin N. Distribution of Enterobius vermicularis among the schoolchildren of two primary schools with different social-economic status in the Ankara province. Turkiye Parazitol Derg 2009;33:54-58.31. Nematian J, Nematian E, Gholamrezanezhad A, Asgari AA. Prevalence of intestinal parasitic infections and their relation with socio-economic factors and hygienic habits in Tehran primary school students. Acta Trop 2004;92:179-186.32. Wu CG, Luo XJ, Xie J, Jiang SG, Li SS, Xiao BZ. Prevalence of Enterobius vermicularis infection of children and its influencing factors in Chongqing City. ZhongguoXue Xi Chong Bing Fang ZhiZaZhi 2012;24:703-706.33. Giray H, Keskinoglu P. The prevalence of Enterobius vermicularis in schoolchildren and affecting factors. Turkiye Parazitol Derg 2006;30:99-102. 34. Yoon HJ, Choi YJ, Lee SU, Park HY, Huh S, Yang YS. Enterobius vermicularis egg positive rate of pre-school children in Chunchon, Korea. Korean J Parasitol 2000;38:279-281.35. Quihui L, Valencia ME, Crompton DW, Phillips S, Hagan P, Morales G, et al. Role of the employment status and education of mothers in the prevalence of intestinal parasitic infections in Mexican rural schoolchildren. BMC Public Health 2006;6:225.36. Wang S, Yao Z, Hou Y, Wang D, Zhang H, Ma J, et al. Prevalence of Enterobius vermicularis among preschool children in 2003 and 2013 in Xinxiang city, Henan province, Central China. Parasite 2016;23:30.37. Monárrez-Espino J, Pérez-Espejo CR, Vázquez-Mendoza G, Balleza-Carreón A, Caballero-Hoyos R. Intervention to prevent intestinal parasitic reinfections among Tarahumara indigenous schoolchildren in northern Mexico. Rev Panam Salud Publica 2011;30:196-203.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Soner Sertan Kara

Burcu Volkan

Yayımlanma Tarihi 29 Haziran 2018
Gönderilme Tarihi 8 Şubat 2018
Yayımlandığı Sayı Yıl 2018

Kaynak Göster

AMA Kara SS, Volkan B. DifferencesI Between The Children Infected With Enterobius Vermicularis and Taenia Saginata. Sakarya Tıp Dergisi. Haziran 2018;8(2):272-278. doi:10.31832/smj.391999

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