Annals of Tropical Medicine and Public Health

LETTER TO EDITOR
Year
: 2017  |  Volume : 10  |  Issue : 3  |  Page : 767-

Passing of Worm in Vomitus – A reliable history for diagnosis, when a patient complains for passing of worm in stool: How about the reliabilityxs?


Won Sriwijitalai1, Viroj Wiwanitkit2,  
1 RVT Medical Center, Bangkok, Thailand
2 Visiting Professor, Hainan Medical University, China

Correspondence Address:
Won Sriwijitalai
VT Medical Center, Bangkok
Thailand




How to cite this article:
Sriwijitalai W, Wiwanitkit V. Passing of Worm in Vomitus – A reliable history for diagnosis, when a patient complains for passing of worm in stool: How about the reliabilityxs?.Ann Trop Med Public Health 2017;10:767-767


How to cite this URL:
Sriwijitalai W, Wiwanitkit V. Passing of Worm in Vomitus – A reliable history for diagnosis, when a patient complains for passing of worm in stool: How about the reliabilityxs?. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Sep 22 ];10:767-767
Available from: http://www.atmph.org/text.asp?2017/10/3/767/196600


Full Text



Dear Editor,

An important history of intestinal helminthiasis is the passing of worm in vomitus. In medicine, this complain seems a specific gastrointestinal symptom and there are only a few infections that can have this presentations (such as ascariasis [1]

Gordius worm infestation,[2] etc.). In clinical practice, the physician in charge usually relies on this history and further manages the case. However, the interesting question is whether this history is a reliable history or not. Here, the authors report on our experience on three cases with history of passing of “worm” in vomitus and having the suspected object to the hospital for final testing during 5-year period. Based on the record, all cases are confirmed for having actual intestinal helminthiasis and the identified worms are all Ascaris spp. Hence, it might imply that the history of passing of worm in vomitus is a strong and reliable complaint indicating the intestinal helminthiasis.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Mishra PK, Agrawal A, Joshi M, Sanghvi B, Shah H, Parelkar SV. Intestinal obstruction in children due to Ascariasis: a tertiary health centre experience. Afr J Paediatr Surg 2008;5:65-70.
2Lee KJ, Bae YT, Kim DH, Deung YK, Ryang YS, Im KI, et al. Gordius worm found in a three year old girl's vomitus. Yonsei Med J 2003;44:557-60.