NEET PG Medical – 2019 – Question – 109
A patient is having gastrointestinal problems including abdominal pain and distension, bloody or mucus-filled diarrhea, and tenesmus,with rectal prolapse, A stool, ova and parasites exam reveals the presence of typical Barrel-shaped eggs, possible causative agent is?
a) Campylobacter
b) Clostridium difficile
c) Giardia lamblia
d) Trichuris
Correct Answer – D
Answer: D. Trichuris
whipworm can cause gastrointestinal problems, such as abdominal pain, diarrhea, mucous or bloody stools weight loss, painful urination, and weakness.
Rectal prolapse is a hallmark, albeit rare, symptom of a heavy T.
trichiura infection that occurs in children more frequently than adults.
When rectal prolapse occurs, worms can often be identified on the edematous rectum.
In a whipworm infection, the rectum loses its internal support because the worms bury their thin heads into the intestinal lining, loosening the elastic epithelium and weakening the surrounding muscles.