Trichuris dysentery syndrome
GASTROENTEROLOGY, TROPICAL MEDICINE
A helminthic dysentery caused by Trichuris trichiura, which is one of the most common helminthic infections in the world.
Clinical findings Heavy colonic worm infestation results in mucoid diarrhoea, rectal bleeding, and rectal prolapse. The severe iron deficiency anaemia results in hypoxia and finger clubbing. Affected children have stented growth, lower IQs, school achievement and cognitive function.
Diagnosis Nematodes are seen by colonoscopy
Lab Stool microscopy
Management Long-term anti-helminthic treatment with mebendazole, albendazole.
References Trop Biomed. 2012 Dec;29(4):626-31
Ann Trop Med Public Health 2011;4:148-9