Difference between revisions of "Trichuris trichiura"
(Created page with "==Background== ==Clinical Features== *Morbidity is related to number of worms harbored in intestines *Light infections often asymptomatic *Heavier infections with variety of...")
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Revision as of 04:11, 18 June 2015
- Morbidity is related to number of worms harbored in intestines
- Light infections often asymptomatic
- Heavier infections with variety of manifestations including GI symptoms (abdominal pain, diarrhea, blood in stool, rectal prolapse), malaise, weakness, impaired cognitive / physical development, malnutrition</ref>
- Iron-deficiency anemia
- Adult worms attach to intestinal wall to feed, causing ongoing luminal blood loss
- Taenia saginata
- Taenia solium (Cysticercosis)
- Diphyllobothrium latum
- Hymenolepis nana
- Echinococcus granulosus
- Fasciola hepatica
- Fasciolopsis buski
- Opistorchis viverrini
- Schistosoma spp
- Chlonorchis sinensis
- Paragonimus spp.
- Ascaris lumbricoides
- Enterobius vermicularis (Pinworm)
- Filarial worms
- Dracunculus medinensis
- Strongyloides stercoralis
- Trichuris trichiura (Whipworm)
- Toxocara spp.
- Albendazole 400 mg x 1 dose
- Historically treated with albendazole or mebendazole, but monotherapy has low efficacy especially in heavy infections; higher cure rate achieved with oxantel pamoate-albendazole combination compared to any monotherapy in recent RCT 
- Iron supplements in anemia
- Wilcox S, Thomas S, Brown D, Nadel E. “Gastrointestinal Parasite.” The Journal of Emergency Medicine, 2007; 33(3):277-280
- Speich B, Ame S, et al. "Oxantel Pamoate–Albendazole for Trichuris Trichiura Infection." New England Journal of Medicine, 2014; 370: 610-620.