Trichuris dysentery syndrome with eosinophilic leukemoid reaction mimicking inflammatory bowel disease

Krishnamurthy, Shoba; Samanta, Debaditya; Yadav, Shobha

doi:10.4103/0022-3859.48451

Cited by 8 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Trichuriasis can, in situations where there are extremely large worm burdens, cause a dysentery syndrome that is associated with a mild to marked eosinophilia, severe iron deficiency anemia, and rectal prolapse (the latter 2 more commonly seen in children) [121-123]. …”

Section: Eosinophilia In Indigenous Population (Immigrant/refugeementioning

confidence: 99%

Eosinophilia in Infectious Diseases

O’Connell

Nutman

2015

Immunology and Allergy Clinics of North America

107

View full text Add to dashboard Cite

show abstract

Section: Eosinophilia In Indigenous Population (Immigrant/refugeementioning

confidence: 99%

Eosinophilia in Infectious Diseases

O’Connell

Nutman

2015

Immunology and Allergy Clinics of North America

107

View full text Add to dashboard Cite

show abstract

“…Another case in Korea also reported normal leukocyte counts of 5.7 × 10 9 /L without eosinophilia in a young adult with TDS [ 20 ]. Much higher leukocyte and eosinophil counts were previously reported in children infected by T. trichiura [ 21 , 22 , 23 ]. In one pediatric case of TDS in India, leukocytosis and HE were present, with leukocyte counts of 80 × 10 9 /L and AEC of 40 × 10 9 /L [ 23 ].…”

Section: Discussionmentioning

confidence: 67%

Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report

Abdullah

Baharudin

Rustam

et al. 2021

Clinics and Practice

View full text Add to dashboard Cite

Eosinophilic leukocytosis can be attributed to a number of clinical conditions such as parasitic infection, allergies, and neoplasms. Parasitic infection is the main cause of eosinophilia; however, a marked leukocytosis with hypereosinophilia secondary to Trichuris trichiura in adults has not been previously reported. We describe a case of a 39-year-old man who presented with fever and diarrhea. The investigation revealed a white blood cell (WBC) count of 20.69 × 109/L with an absolute eosinophil count of 12.44 × 109/L. Fecal microscopic examination demonstrated T. trichuria eggs. The WBC count returned to normal following treatment with albendazole. The literature pertaining to hematological findings associated with Trichuris trichiura is explored in this report. This case highlights that a significant elevation of leukocyte count with hypereosinophilia can be one of the manifestations of trichuriasis infection in adults. Empirical treatment with anti-helminthic agents may play a role in suspected cases to avoid severe complications, such as Trichuris dysentery syndrome.

show abstract

“…Additionally, previous reports have described the identification of hookworms ( Necator americanus and Ancylostoma duodenale ) using upper gastrointestinal endoscopy and the diagnosis of whipworm ( Trichuris ) infections of the cecum and ascending colon using colonoscopy . Some intestinal helminthic infections might produce clinical symptoms and radiological findings that are similar to those of inflammatory bowel disease (IBD) . Interestingly, asymptomatic Taenia saginata infection in a patient with Crohn's disease being treated with an anti‐TNFa therapy was recently described .…”

Section: Discussionmentioning

confidence: 99%