法医学ジャーナル

Case Report on Attack of Gastrointestinal Tracts of Children

Abstract

Barry Adam

Enterobius vermicularis is a threadlike parasite commonly referred to as "pinworms." It is the most common helminth infection, affecting children's gastrointestinal tracts worldwide, albeit it seldom causes mortality. Infections with Enterobius vermicularis are typically asymptomatic and cause solely anal pruritis, with adult pinworms occasionally migrating into the appendix or female genital tract. We present the case of a 15-year-old girl who went to the ER with a high-grade fever, vomiting, and vague abdominal pain that had been persistent for three days. She underwent an emergency ileocecectomy after being diagnosed with acute abdominal pain, but she died the next day. The intraluminal and intramural Enterobius vermicularis discovered during the pathological examination of the ileocecal junction was concluded to be the cause of death in the absence of any other diseases. Death from Enterobius vermicularis is uncommon; however, this case highlights the need of doctors investigating Enterobius vermicularis infections in patients with unexplained severe abdominal discomfort, since it could be a cause of death.