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[Intestinal parasitosis in irritable colon].

U Schwarz, J Schmutz, U Berner

    Schweizerische Medizinische Wochenschrift
    |April 6, 1985
    PubMed
    Summary

    Routine stool examinations for intestinal parasites are recommended for patients with abdominal pain in southern Europe and Turkey, as parasitic infections are common and often treatable, leading to symptom resolution.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Parasitology

    Context:

    • Investigated parasitic infestation of the intestinal tract in a prospective study.
    • Included 177 patients from southern Europe and Turkey.
    • Focused on patients with abdominal pain and extra-abdominal symptoms.

    Purpose:

    • To determine the prevalence of pathogenic parasites in patients with gastrointestinal and extra-gastrointestinal symptoms.
    • To assess the effectiveness of antiparasitic treatment on symptoms.
    • To evaluate the utility of routine stool examination for parasite detection.

    Summary:

    • In patients with abdominal pain (n=127), pathogenic parasites were found in 54% of stool samples; 19 had multiple infections.
    • In patients with extra-abdominal symptoms (n=50), 22% had pathogenic parasites; multiple infections were absent.
    • Treatment led to parasite clearance in 22/25 patients, with 17 becoming symptom-free.

    Impact:

    • Highlights the significant prevalence of intestinal parasites in symptomatic individuals in this region.
    • Supports routine stool examination for parasites in the workup of abdominal pain.
    • Suggests considering parasite screening even in the absence of typical intestinal symptoms due to high prevalence.

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