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Coinfection of T. trichiura with other parasites is common and with larger worm burdens can cause both exacerbations of dangerous trichuriasis symptoms such as massive gastrointestinal bleeding (shown to be especially dramatic with coinfection with Salmonella typhi) and exacerbation of symptoms and pathogenesis of the other parasitic infection ...
Rectal bleeding refers to bleeding in the rectum, thus a form of lower gastrointestinal bleeding. There are many causes of rectal hemorrhage, including inflamed hemorrhoids (which are dilated vessels in the perianal fat pads), rectal varices , proctitis (of various causes), stercoral ulcers , and infections .
Major groups of parasites include protozoans (organisms having only one cell) and parasitic worms (helminths). Of these, protozoans, including cryptosporidium, microsporidia, and isospora, are most common in HIV-infected persons. Each of these parasites can infect the digestive tract, and sometimes two or more can cause infection at the same time.
The females can grow to 50 mm (2.0 in) long. [3] Trichuris trichiura can cause the serious disease Trichuris dysentery syndrome (TDS), with chronic dysentery, anemia, rectal prolapse, and poor growth. [8] TDS is treated with anthelminthics as well as iron supplementation for anemia. [9]
Pinworm infection (threadworm infection in the UK), also known as enterobiasis, is a human parasitic disease caused by the pinworm, Enterobius vermicularis. [3] The most common symptom is pruritus ani, or itching in the anal area. [1]
A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]
The eggs can be deposited around the alveolar capillary beds and cause granulomatous inflammation of the pulmonary arterioles followed by fibrosis. [19] This leads to high blood pressure in the pulmonary circulation system ( pulmonary hypertension ), increased pressure in the right heart, enlargement of the pulmonary artery and right atria, and ...
If a specific cause is not found it is classified as "idiopathic pruritus ani". [3] The irritation can be caused by intestinal parasites, anal perspiration, frequent liquid stools, diarrhea, residual stool deposits, or the escape of small amounts of stool as a result of incontinence or flatulence. Another cause is yeast infection or candidiasis.