Amebiasis is a common protozoan disease with a worldwide distribution. It is endemic in tropical developing countries, and cases are being detected in subtropical countries as well. It usually presents with intestinal manifestations. An extraintestinal manifestation of this disease, amebic vaginitis and amebic cervicitis, is rare and often misinterpreted clinically as vaginal and cervical carcinoma because of its overall ulcerated and necrotic appearance. Awareness of this rare manifestation is important for preventing unnecessary interventions and for effectively managing the patients with antiamebic treatment. Herewith, we report three cases of amebic vulvovaginitis and cervicitis in elderly women clinically masquerading as carcinomas.

Acute appendicitis is the commonest cause of surgical emergency, occurring worldwide and affecting all age groups. The pathology is most likely the obstruction of lumen of the appendix due to multifactorial etiology. Acute appendicitis due to helminths and protozoan infection is quite rare. The causal relationship of appendicitis and pinworms (Enterobius vermicularis or oxyuris) remains controversial. Here, we report a case of an 8-year old boy with pinworm discovered inadvertently after appendectomy in a highly inflamed perforated appendix.