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首页> 外文期刊>The Internet journal of parasitic diseases >A Study On Entrobius Vermicularis Infection In A Appendices Removed By Surgery In Tabriz Hospitals
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A Study On Entrobius Vermicularis Infection In A Appendices Removed By Surgery In Tabriz Hospitals

机译：大不里士医院通过手术切除的阑尾中肠球菌感染的研究

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The association of Enterobius vermicularis infestation with acute appendicitis varies from 0.2– 41.8% worldwide. Our purpose was to determine the signi?cance of Enterobius-associated appendicitis by retrospective review of appendectomies performed dur-ing a 8-year period at a major Tabriz hospital. The Surgical Pathology database at Imam Khomeini’s and Alinasab’s Hospital, Tabriz,Iran was reviewed for appendiceal speci-mens found to have Enterobius infestation. Corre-sponding patient charts were evaluated for age, gender, presenting symptoms, laboratory data, operative ?nd-ings, and clinical course. Of the 5981 appendectomies performed from 2005 to 2009, 38 specimens (1.38%) were found to contain Enterobius vermicularis. Twenty-six of the appendectomies were per-formed for symptoms of acute appendicitis; the remaining twelve were incidental appendectomies in con-junction with other operations. Between that age groups , and between two age groups of 5-10 and 11-16 the highest rate has been shown that among them females infection is more . In 38 cases there are pinworm that %67 present of it relates to females and %33 of it relates to males . Of the 26 symptomatic children, 12 presented with fever >99.0?F, and 14 had a WBC count >10,000. Intra-operative appearance of the appendix ranged from normal to perforation. Pathologic evaluation showed neutrophil or eosinophil in?ltration in 27 of the 38 specimens. Enterobius infestation is an uncommon cause of acute appendicitis in children in the Islamic Republic of Iran. It may be associated with acute appendicitis, ‘‘chronic appendicitis,’’ ruptured appendicitis, or with no signi?-cant clinical symptoms. Introduction Enterobius vermicularis (pinworm) infections of the gas?trointestinal tract occur in 4–28% of children worldwide [1, 2, 3, 4, 5]. Although the most common manifestation of pinworms is perianal pruritus, pinworms have been found in multiple other locations, including the appendix [6, 7, 8, 9, 10]. Recent literature regarding appendiceal helminths focuses primarily on the pathologic changes induced by the presence of intraluminal parasites. We reviewed a cohort of children with asymptomatic and symptomatic pinworms of the appendix. Methods From 2005–2009, the Surgical Pathology database at Imam-Khomeini and Alinasab Hospitals, Tabriz, Iran, was queried for appendix specimens that had pinworms on histologic analysis. The patients’ medical records were evaluated to determine age, gender, presenting symptoms, presenting vital signs, white blood cell (WBC) count, operative ?ndings, and clinical course. Histologic ?ndings were recorded. Results Thirty-eight of 5981 appendectomy patients (1.38%) were noted to have intraluminal pinworms within the appen?dix specimen (Table 1). In 38 cases there is pinworm that %67 present of it relates to females and %33 of it relates to males .Twenty-six operations were performed for symptoms of abdominal pain. Twelve incidental appendectomies were performed in conjunction with another primary procedure.
机译：世界范围内，肠蠕虫感染与急性阑尾炎的相关性在0.2％至41.8％之间。我们的目的是通过对大不里士一家主要医院在8年期间进行的阑尾切除术的回顾性研究来确定肠球菌相关性阑尾炎的重要性。审查了伊朗大不里士市伊玛目霍梅尼医院和Alinasab医院的手术病理学数据库，以发现发现有肠球菌感染的阑尾标本。对相应的患者病历进行了年龄，性别，症状，实验室数据，手术发现和临床过程的评估。在2005年至2009年进行的5981个阑尾切除术中，发现38个标本（1.38％）包含蠕虫Enterobius。对急性阑尾炎的症状进行了26例阑尾切除术。其余十二个与其他手术一起是偶然的阑尾切除术。在该年龄段之间，以及在5-10岁和11-16岁这两个年龄段之间，发病率最高，表明女性感染率更高。 38例pin虫中，有67％与女性有关，而33％与男性有关。在26名有症状的儿童中，有12名发烧> 99.0？F，有14名白细胞计数> 10,000。阑尾的术中外观从正常到穿孔不等。病理评估显示38个标本中有27个中性粒细胞或嗜酸性粒细胞浸润。肠杆菌感染是伊朗伊斯兰共和国儿童急性阑尾炎的罕见原因。它可能与急性阑尾炎，“慢性阑尾炎”，破裂性阑尾炎或无明显临床症状相关。引言全世界肠胃蠕虫（pin虫）感染发生在全球4–28％的儿童中[1,2,3,4,5]。尽管pin虫最常见的表现是肛周瘙痒，但在其他多个地方也发现了pin虫，包括附录[6、7、8、9、10]。关于阑尾蠕虫的最新文献主要集中在腔内寄生虫的存在引起的病理变化上。我们回顾了一群无症状和有症状的pin虫的儿童。方法从2005年至2009年，查询伊朗大不里士Imam-Khomeini和Alinasab医院的手术病理学数据库，以进行组织学分析发现有append虫的阑尾标本。对患者的病历进行评估，以确定年龄，性别，症状，生命体征，白细胞（WBC）计数，手术结果和临床病程。记录组织学发现。结果注意到5981例阑尾切除术患者中有38例（1.38％）在附件标本内有腔内pin虫（表1）。 38例cases虫中，有％67与女性有关，而％33与男性有关。对腹部疼痛的症状进行了26例手术。十二个偶然的阑尾切除术与另一个主要手术相结合进行。

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