Tsai Chun-Yi, Junod Rachel, Jacot-Guillarmod Martine, Beniere Charles, Ziadi Sonia, Bongiovanni Massimo
Service of Clinical Pathology, Lausanne University Hospital, Institute of Pathology, Lausanne, Switzerland.
Department of Obstetrics and Gynecology, Lausanne University Hospital, Switzerland.
Diagn Cytopathol. 2018 Feb;46(2):179-186. doi: 10.1002/dc.23812. Epub 2017 Sep 14.
Enterobiasis is one of the most common human parasitic infections. It is considered an intestinal parasite, but cases of extra-intestinal affections exist, notably infections of the female genital tract. Enterobius vermicularis (EV) eggs (or ova) have been found in the cervical smears of two patients in our institute during the last 16 years. No gynaecological or gastrointestinal symptoms were reported, and there was no known intestinal infection in these two cases. A review of the available literature revealed rare cases of vaginal enterobiasis, with a wide range of clinical presentations, many patients being asymptomatic. The diagnosis may sometimes be difficult, mainly because of the lack of clinical suspicion. However, cytological identification of EV in cervico-vaginal smears is important, especially when considering the risk of ascending infections of the genital tract associated with severe complications.
蛲虫病是最常见的人类寄生虫感染之一。它被认为是一种肠道寄生虫，但也存在肠外感染的病例，尤其是女性生殖道感染。在过去16年中，我们研究所的两名患者的宫颈涂片检查中发现了蛲虫卵。这两名患者均未报告有妇科或胃肠道症状，且无已知的肠道感染。对现有文献的回顾显示，阴道蛲虫病病例罕见，临床表现多样，许多患者无症状。诊断有时可能很困难，主要是因为缺乏临床怀疑。然而，在宫颈阴道涂片检查中对蛲虫进行细胞学鉴定很重要，尤其是考虑到生殖道上行感染伴有严重并发症的风险时。
