Whipworm infection other diagnostic studies

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Other Diagnostic Studies

Colonoscopy

It is not performed routinely for the diagnosis of whipworm infection. It is an accidental finding in patients who undergo colonoscopy for routine indications. Colonoscopy can be done in patients presenting with non specific symptoms and have a negative stool test for the presence of eggs.

  • Colonoscopy will reveal a white, mobile whip-like worm attached to the cecum. The thin head portion of the worm will be embedded in the mucosa, while the thicker portion visible within the lumen.[1]

Abdominal Ultrasound

  • If the whipworm is present in the appendix, a continuous wriggling movement in the lumen ofappendix suggestive of the “whipworm dance” may be demonstrated.[2]

References

  1. Ok KS, Kim YS, Song JH, Lee JH, Ryu SH, Lee JH; et al. (2009). "Trichuris trichiura infection diagnosed by colonoscopy: case reports and review of literature". Korean J Parasitol. 47 (3): 275–80. doi:10.3347/kjp.2009.47.3.275. PMC 2735694. PMID 19724702.
  2. Vijayaraghavan SB (2009). "Sonographic whipworm dance in trichuriasis". J Ultrasound Med. 28 (4): 555–6. PMID 19321687.

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