- Trichuriasis
Trichuriasis is a
parasitic disease caused byinfection of thelarge intestine by aparasite whipworm ("Trichuris trichiura ").Causes, incidence, and risk factors
Trichuriasis is common worldwide (in particular among countries with warm, humid climates) and primarily affects children, who may become infected if they ingest
soil contaminated with whipworm eggs. The ingested eggs hatch, and the whipworm embeds in the wall of the large intestine (cecum , colon,rectum ).The main
risk factor for infection is ingestion of eggs from soil contaminated withfeces . Some outbreaks have been traced to contaminatedvegetables (due to presumed soil contamination).ymptoms
* Light infestations are frequently asymptomatic (have no symptoms).
* Heavy infestations may have bloody diarrhea.
* Long-standing blood loss may lead to iron-deficiency anemia.
* Rectal prolapse is seen in severe cases.igns and tests
A stool ova and parasites exam reveals the presence of typical whipworm eggs.
Treatment
Oral treatment with
mebendazole for 3 days is commonly used in symptomatic infections. Another anti-parasitic agent (albendazole ) can be used as an alternative therapy.Prognosis
Full recovery is expected with treatment.
Complications
In severe cases,
dehydration and anemia from bloody diarrhea can occur. Rarely, rectal prolapse can also occur.Prevention
Improved facilities for feces disposal have decreased the incidence of whipworm. Handwashing before food handling, and avoiding ingestion of soil by thorough washing of food that may have been contaminated with egg-containing soil are other preventive measures.
ource
* [http://www.nlm.nih.gov/medlineplus/ency/article/001364.htm Whipworm Infection] . MedlinePlus Medical Encyclopedia. US Federal Government public. domain. "Update Date: 7/16/2004. Updated by: Daniel Levy, M.D., Ph.D., Infectious Diseases, Greater Baltimore Medical Center, Baltimore, MD. Review provided by VeriMed Healthcare Network."
Wikimedia Foundation. 2010.