Eggs of Enterobius vermicularis in pregnant’s cervicovaginal smear: case report
DOI:
https://doi.org/10.33448/rsd-v11i7.30490Keywords:
Cervicovaginal smears; Parasitosis; Pregnant; Enterobius vermiculari; Health teachings.Abstract
Cervico-vaginal oncotic colpocytology is an important cervical cancer screening test that must be performed by women periodically, including during pregnancy. Despite not being its main objective, the exam is capable of diagnosing some species of vaginal parasites, even in asymptomatic patients. The aim of this study was to report a case of vaginal parasitosis in a pregnant woman diagnosed at the Center for the Prevention of Gynecological Diseases of the Escola Paulista de Medicina of the Federal University of São Paulo and its treatment. The present document reports the case of a primiparous pregnant woman who was referred to the tertiary service for persistent vaginal bleeding in the first gestational trimester and who, during investigation, was diagnosed with vaginitis and the rare finding of Enterobius vermicularis eggs on cervical oncotic cytology. -vaginal. The success of the treatment is not the main challenge, but the prevention of reinfection or autoinfection. For this, hygiene habits should be encouraged to all members of the household, such as: washing hands frequently, avoiding scratching the anal area, performing daily hygiene with orientation of the hands from anterior to posterior and not sharing towels and personal hygiene items.
References
Abaza, H., El-Zayadi, A. R., Kabil, S. M., & Rizk, H. (1998). Nitazoxanide in the treatment of patients with intestinal protozoan and helminthic infections: a report on 546 patients in Egypt. Current Therapeutic Research, 59 (2), 116-121.
Allison, D. B., Simner, P. J. & Ali, S. Z. (2018). Identification of infectious organisms in cytopathology: a review of ancillary diagnostic techniques. CancerCytopathol, 126 (8), 643-653.
Craggs, B., De Waele, E., De Vogelaere, K., et al. (2009). Enterobius vermicularis infection with tubo-ovarian abscess and peritonitis occurring during pregnancy. Surg Infect (Larchmt), 10(6), 545-547.
do Nascimento, T. H. G., de Oliveira, E. P., & de Sousa, A. P. (2022). Incidência de enteroparasitoses em idosos institucionalizados no município de São José do Egito estado do Pernambuco. Research, Society and Development, 11(2), e32311225971-e32311225971.
Garud, M. A., Saraiya, U., Paraskar, M. & Khokhawalla, J. (1980). Vaginal parasitosis. Acta Cytol, 24(1), 34-35.
Gupta, R. K., Naran, S., Lallu, S. & Fauck, R. (2003). Diagnosis of Entamoeba histolytica in a routine cervical smear. DiagnCytopathol, 29(1), 13.
Kapila, K., Pathan, S. K. & Al-Boloushi, K. (2005). Diagnosis of Strongyloidesstercoralis in a routine cervical smear. DiagnCytopathol, 33(1), 31-32.
Mayekar, V., Ruben, I. & Rekhi, B. (2013). Serendipitously identified Strongyloidesstercoralis in a cervicovaginal smear. J Cytol., 30(4), 270-271.
Menezes, R. A. O., Gomes, M. S. M., Barbosa, F. H. F., Machado, R. L. D., Andrade, R.F. & D'Almeida Couto, A. A. R. (2013). Sensibilidade de métodos parasitológicos para o diagnóstico das enteroparasitoses em Macapá – Amapá, Brasil. Rev. de Biologia e Ciências da Terra, 13(2), 66-73.
Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). (2016). Diretrizes brasileiras para o rastreamento do câncer do colo do útero. 2 ed., Rio de Janeiro: INCA, 2016.
Pampiglione, S. & Rivasi, F. (2009). Enterobiasis in ectopic locations mimicking tumor-like lesions. Int J Microbiol, 2009, 642481.
Powell, G., Sarmah, P., Sethi, B. & Ganesan, R. (2013). Enterobius vermicularis infection of the ovary. BMJ Case Rep. 2013, bcr2013201146.
Riedel, S., Morse, S. A., Mietzner, T. A., & Miller, S. (2022). Microbiologia Médica de Jawetz, Melnick & Adelberg-28. McGraw Hill Brasil.
Santos, A. H. C., Barbosa, L., Siqueira, T. S., de Souza, M. R., Celestino, A. O., Santos, A. F., & de Araújo, K. C. G. M. (2021). Prevalência e fatores de risco associados à infecção da Esquistossomose mansoni e das enteroparasitoses em área endêmica, Sergipe, Brasil. Research, Society and Development, 10(5), e26310514538-e26310514538.
Seung-Kyu, C., Eun-Kyung, K., Young-Ok, H., et al. (2010). Enterobius vermicularis Ova in a Vaginal Smear. Korean J Pathol, 44, 341–342.
Shetty, J. B., Kulkarni, D. V. & Prabhu, V. (2012). Eggs containing larvae of Enterobius vermicularis in vaginal smear. J Cytol., 29 (1), 94-96.
Tsai, C. Y., Junod, R., Jacot-Guillarmod, M., Beniere, C., Ziadi, S. & Bongiovanni, M. (2018). Vaginal Enterobius vermicularis diagnosed on liquid-based cytology during Papanicolaou test cervical cancer screening: a report of two cases and a review of the literature. DiagnCytopathol, 46 (2), 179-186.
Wendt, S., Trawinski, H., Schubert, S., Rodloff, A.C., Mössner, J. & Lübbert, C. (2019). The Diagnosis and Treatment of Pinworm Infection. DtschArztebl Int., 116 (13), 213-219.
White Jr., A. C. (2004). Nitazoxanide: a new broad spectrum antiparasitic agent. Expert Review of Anti-Infective Therapy, 2 (1), 43-49.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Fernanda Marino Lafraia; Fernanda Kesselring Tso; Tatiana Megale de Lima; Patricia Napoli Belfort Mattos; Luisa Abreu Zorzanelli; Juliana Pagotto Trevizo; Neila Maria de Góis Speck
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.