Live female <i>Enterobius vermicularis</i> in the posterior fornix of the vagina of a Korean woman

, Chung, D I; , Kong, H H; , Yu, H S; , Kim, J; , Cho, C R

doi:1997.35.1.67

Korean J Parasito > Volume 35(1):1997 > Article

Case Report


Korean J Parasitol. 1997 Mar;35(1):67-69. English. Published online Mar 20, 1997. http://dx.doi.org/10.3347/kjp.1997.35.1.67
Copyright © 1997 by The Korean Society for Parasitology


Live female Enterobius vermicularis in the posterior fornix of the vagina of a Korean woman
D I Chung,^*¹H H Kong,¹H S Yu,¹J Kim,² and C R Cho³
¹Department of Parasitology, Kyungpook National University School of Medicine, Taegu 700-422, Korea.

Received January 10, 1997; Accepted May 05, 1997.
Abstract
A 33-year-old Korean woman, para 2. visited an obstetrics and gynecology clinic, Kumi-shi, Kyongsangbuk-do, due to postcoital spotting and flank pain. She had a tubal ligation 7 years before and demonstrated back pain during menstruation. She revealed a foul smelling discharge without complaint of itching. Enterobius vermicularis eggs were demonstrated during microscopic examination of a smear taken from the posterior fornix of the vagina. On endoscopic examination of her vagina, a live worm was found in the posterior fornix. The worm was removed and identified as a female E. vermicularis based on morphology. This is the first case report of vaginal enterobiasis in Korea.

Figures


	Fig. 1 An embryonated egg of Enterobius vermicularis. Bar indicates 20 µm.


	Fig. 2 An adult female E. vermicularis recovered from the posterior fornix of vagina. The worm shows circumoral alae (arrow heads), esophageal bulb (large arrow) and vaginal opeing (small arrow).

References


1.	Arthur HR, Tomlinson BE. Oxyuris granulomata of the fallopian tube and peritoneal surface of an ovarian cyst. J Obstet Gynaecol Br Emp 1958;65(6):996–997.

2.	Beddoe HL. Am J Dis Child 1956;91:577–580.

3.	Beckman EN, Holland JB. Ovarian enterobiasis--a proposed pathogenesis. Am J Trop Med Hyg 1981;30(1):74–76.

4.	Bhambhani S, Milner A, Pant J, Luthra UK. Ova of Taenia and Enterobius vermicularis in cervicovaginal smears. Acta Cytol 1985;29(5):913–914.

5.	Broderick PA. Pinworm infestation of female genitalia. Carney Hosp J 1963;5:24–28.

7.	Campbell CG, Bowman J. Enterobius vermicularis granuloma of pelvis. A case report. Am J Obstet Gynecol 1961;81:256–258.

8.	San Cristobal A, de Mundi A. Letter: Enterobius vermicularis larvae in vaginal smears. Acta Cytol 1976;20(3):190–192.

9.	Demirezen S, Karayazgan Y. [Eggs of Enterobius vermicularis in vaginal smears. Mikrobiyol Bul 1986;20(4):290–294.

*10.*	Deshpande AD. Postgrad Med J 1992;68:690–691.

*11.*	FitzGerald TB, Mainwaring AR, Ahmed A. Pelvic peritoneal oxyuriasis simulating metastatic carcinoma. A case report. J Obstet Gynaecol Br Commonw 1974;81(3):248–250.

*12.*	Garud MA, Saraiya U, Paraskar M, Khokhawalla J. Vaginal parasitosis. Acta Cytol 1980;24(1):34–35.

*13.*	Kacker PP. Vulvo-vaginitis in an adult with thread-worms in the vagina. Br J Vener Dis 1973;49(3):314–315.

*14.*	Leigh FD. Med Pharm 1964;17:25–27.

*15.*	Moscolo G, Pizzinato U, Novelli GG. Colpocytologic observation of eggs of Enterobius vermicularis. Acta Cytol 1979;23(5):425–426.

*16.*	Saffos RO, Rhatigan RM. Unilateral salpingitis due to Enterobius vermicularis. Am J Clin Pathol 1977;67(3):296–299.

*17.*	Shipton EA, McInerney RJ, Hulbert L. Parasitic ova in vaginal smears. Med J Aust 1973;1(20):1014.

*18.*	Sjovall A, Akerman M. Peritoneal granulomas in women due to the presence of enterobius S. oxyuris vermicularis. Acta Obstet Gynecol Scand 1968;47(3):361–372.