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2001, Number 1

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Rev Mex Patol Clin Med Lab 2001; 48 (1)

Parasitary appendicitis

González DOM, Núñez FFA

Language: Spanish
References: 30
Page: 42-45
PDF size: 74.86 Kb.


ABSTRACT

Appendicitis is a frequent complication in the medical practice, their causes may be multiples and the parasitic etiology may be important. Among the main parasitic agents related to this important complication we found the following helminthes: Enterobius vermicularis, Trichuris trichiura, Ascaris lumbricoides, Taenia sp., Schistosoma mansoni, Strongyloides stercoralis and Angiostrongylus costaricensis, while among protozoa the main causative agents involved are: Entamoeba histolytica, Balantidium coli, and Cryptosporidium parvum. In this paper we review some topics about these parasitosis, which may be able to produce clinical appendicitis. In many instances have been showed histopathological evidences of causative association. However, the statistics confirm that the parasites are not a frequent cause of appendicitis and in many studies the finding of a parasite in an appendix removed surgically, has been mistakenly interpreted as an evidence of causative association. Many of epidemiological studies, lack of enough scientific support, because of they lacked of appropriate control groups, composed of comparable groups of individuals without appendicitis, in whom should be studied the presence of a determined parasitic agents in order to analyze possible causative association. For all these reasons we think that are necessary further epidemiological prospective and etiological studies to ascertain the truly importance of parasites as a cause of appendicitis.


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