• Internal medicine · Mar 2022

    Case Reports

    Trichuris trichiura Incidentally Detected by Colonoscopy and Identified by a Genetic Analysis: A Case Report.

    • Yuto Ishizaki, Kazumasa Kawashima, Naohiko Gunji, Michio Onizawa, Takuto Hikichi, Mitsuko Hasegawa, and Hiromasa Ohira.
    • Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.
    • Intern. Med. 2022 Mar 15; 61 (6): 821-825.

    AbstractAlthough trichuriasis, a zoonotic disease, has recently become rare in Japan due to improved environmental hygiene, we herein report a 79-year-old man in whom a worm was incidentally found in the ascending colon during colonoscopy for positive fecal occult blood and was endoscopically removed. A genetic analysis identified the worm as Trichuris trichiura possessing mixed sequences from non-human primate and human origins. Despite controversy regarding Trichuris trichiura infection originating from Japanese macaques, according to some studies, it originates primarily from humans. This report suggests the efficacy of a genetic analysis for identifying infection sources.

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