1 case of children trichuriasis.docVIP

 PAGE \* MERGEFORMAT 4 1 case of children trichuriasis [Keywords:] trichuriasis, children, the parasite Trichuriasis Trichuris parasites are intestinal parasites in the human body, reported that children infected with Trichuris relatively rare in recent years. Since the lack of specific clinical manifestations, the disease is often misdiagnosed, so when there is anemia in children, gastrointestinal symptoms and eosinophilia, such as performance, consider the possibility of parasitic infection. A medical record Children, female, 13 years old, 3 years because of recurrent abdominal pain treatment. Three years ago, children with no significant incentive to upper abdominal pain, with nausea and vomiting, diarrhea, hi press can bear. Worked in several hospitals for treatment, ultrasound showed gallbladder thickening, endoscopy showed chronic gastritis, electroencephalogram (-, diagnosed as cholecystitis, gastritis, gallbladder spasm after acid and other anti-inflammatory treatment, no significant improvement in disease. Recently the increasing frequency of abdominal pain in children . when abdominal pain, sweating. emergency patient to be admitted to hospital with abdominal pain. sick children since the listlessness, loss of appetite, poor sleep, urine normal, but no fever and weight loss. admission examination: T 36.2 ℃ , P 98 times / min, BP 100/80 mm Hg, breathing steady, strong law Qi heart sounds without murmur. Abdomen soft, abdominal tenderness, no rebound tenderness, muscular tension. no palpable mass. liver and spleen not . without shifting dullness (-, nervous system (-. investigation after admission blood: WBC 5.0 × 109 / L, RBC 3.0 × 1012 / L, HB 100 g / L, WBC 45.3% neutrophils, lymphocytes 39.1%, 15.6% eosinophils, symptomatic gallbladder acid to give anti-inflammatory treatment for 3 days, the condition does not get better. then the colonoscopy. colonoscopy findings: rectal mucosa is smooth, vascular Net clear, no congestion and edema,