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Case Reports
. 2022 Dec;72(Suppl 2):425-428.
doi: 10.1007/s13224-022-01619-w. Epub 2022 Mar 7.

A Wriggly Problem of Cervix

Richa Aggarwal  1 , Abha Sharma  1 , Preeti Sharma  1 , Archana Choudhary  1 , Amita Suneja  1
Affiliations
Case Reports

A Wriggly Problem of Cervix

Richa Aggarwal et al. J Obstet Gynaecol India. 2022 Dec.

Abstract

Case summary: A 27 years old female presented to gynae OPD with foul smelling discharge per vaginum off and on for a year and was given treatment for PID (Pelvic inflammatory disease) and cervicitis. Pap smear was taken and was reported unsatisfactory due to inflammation. Colposcopy was planned later due to her bothersome complaints and suspicious looking cervix. A white worm popped out of cervix while doing colposcopy which turned out to be Trichuris trichiura. Deworming was done for the patient and her family members. Patient reported again with similar complaints and this time colposcopy and guided biopsy was done that showed Tubercular Granulomatous cervicitis hence, she was put on category I ATT (Anti-tubercular treatment) that relieved her symptoms and improved cervical findings.

Conclusion: People living in tropical and subtropical areas are at highest risk of infection by T. trichiura. This is the first case of T. trichiura in ectopic location and first case of a live worm found in female genital tract. Previous studies have shown that helminthic infection can reactivate latent TB and aggravate the disease expression.

Keywords: Genital helminthiasis; Granulomatous cervicitis; Trichuris trichiura; Tuberculosis; Vaginal discharge.

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Conflict of interest statement

Conflict of interestThe authors declared that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
a Whipworm wriggling over the cervix. b video of a wriggly worm
Fig. 2
Fig. 2
Granulomatous cervicitis
See this image and copyright information in PMC

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