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Enterobius Vermicularis-Associated Pelvic Inflammatory Disease in a Child

Anastasia Mentessidou1, Constantine Theocharides2, Ioannis Patoulias1

  • 1First Department of Pediatric Surgery, Genimatas General Hospital, Aristotle University of Thessaloniki Medical School, Thessaloniki, Greece.

Journal of Pediatric and Adolescent Gynecology
|October 21, 2015
PubMed

Insights

Enterobius vermicularis, a common childhood intestinal worm, can cause pelvic inflammatory disease. Awareness is key to prevent misdiagnosis and ensure proper treatment for children with abdominal pain.

Area of Science:

  • Pediatric infectious diseases
  • Gynecologic pathology
  • Parasitology

Background:

  • Enterobius vermicularis (pinworm) is the most common intestinal parasite in children.
  • Its role in pediatric female genital tract inflammation is poorly understood.
  • Pinworm infections are generally considered low-pathogenicity.

Observation:

  • A case of pelvic inflammatory disease (PID) with right salpingitis in an 11-year-old girl is presented.
  • The condition mimicked acute abdomen secondary to appendicitis.
  • Enterobius vermicularis was identified as the causative agent.

Findings:

  • Pinworm infestation can lead to serious gynecologic complications in children.
  • Salpingitis is a potential inflammatory complication of E. vermicularis infection.
  • The presentation can mimic surgical emergencies like appendicitis.

Implications:

  • E. vermicularis-related PID should be considered in the differential diagnosis of pediatric abdominal pain.
  • Increased clinical awareness can prevent unnecessary surgical interventions.
  • Accurate diagnosis is crucial for appropriate antibiotic selection and management.
Abstract

Keywords:
Enterobius vermicularisGenital enterobiasisPelvic inflammatory disease in childhoodSalpingitis

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