Vulvar enterobiasis
Introduction
Introduction to vulvar tsutsugamushi Vulvar tsutsugamushi is an infectious disease caused by aphids parasitic on the human body. Aphids themselves rarely cause vulvitis, but tsutsugamushi often has genital symptoms, which are characterized by vulva, perineum and itching near the anus. Mild gastrointestinal symptoms are easily prevalent in group children's institutions. It belongs to the category of "insect card" of Chinese medicine. basic knowledge The proportion of illness: 0.03%--0.05% Susceptible people: women Mode of infection: fecal spread Complications: vulvitis vaginitis salpingitis appendicitis
Cause
Causes of vulvar tsutsugamushi
(1) Causes of the disease
For the local and systemic symptoms caused by aphid infection, the female's spawning activity causes severe itching of the perianal and perineal skin, affecting sleep, local skin may be caused by dermatitis and secondary infection, systemic symptoms due to gastrointestinal irritation Such as nausea, vomiting, abdominal pain, diarrhea, loss of appetite, but also uneasy, night terror, irritability and other mental symptoms, occasionally mites crawl into the vagina, urethra, increased vaginal discharge and frequent urination, urgency and other symptoms.
(two) pathogenesis
The locust is 5~15mm long, white and linear. The main pathogenesis is: 1 mechanical stimulation. The female crawls out of the anus to lay eggs at night. The head and tail are alternately fixed on the skin and make the skin around the anus. Itching; 2 adult parasitic in the intestine, the head and mouth mechanical damage to the intestinal wall, causing digestive symptoms; 3 to capture nutrients.
Chinese medicine believes that the worm body colonizes the rectum and the anus is paralyzed, causing the anus to be itchy, causing the children to sleeplessly, the mites parasitizing the intestines, affecting the spleen and stomach, and the function of transportation, so the appetite is reduced, the face is yellow and thin, and the girl is Itching occurs due to the mites crawling forward, or enuresis due to bladder loss. If wet and hot, the anus, ulceration around the perineum, and eczema spread.
Prevention
Vulvar tsutsugamushi prevention
1. Strengthen hygiene publicity, wash hands before meals, cut nails frequently, children should not scratch the anus with their hands and suck fingers, change underwear, sheets, and underwear to be cooked.
2. For the children's collective units to be census, the children identified should be treated in time.
Complication
Vulvar tsutsugamushi complications Complications vulvitis vaginitis salpingitis appendicitis
Aphids can be drilled into other parts, causing aphid vulvitis, vaginitis, salpingitis, appendicitis.
Symptom
Symptoms of genital tsutsugamushi Common symptoms Itching anal itching irritability diarrhea secondary infection nausea abdominal pain molars skin hypertrophy weight loss
Itching is the main symptom of the perineum, and the following symptoms can be severe:
1. Local symptoms mainly manifested as severe itching around the perineum and anus, or with burning sensation, especially at night, due to scratching can cause exfoliation of the perianal and perineal skin, bloody, sometimes flushing, exudation erosion or secondary infection Long-term recurrent episodes can cause skin hypertrophy and pigmentation to form eczema-like changes.
2. Gastrointestinal symptoms can occur, but mild, such as loss of appetite, weight loss and so on.
3. Neuropsychiatric symptoms such as inattention, night terrors, nighttime molars, insomnia, irritability, etc. can occur.
Examine
Examination of vulvar tsutsugamushi
Stool microscopic examination to find mites eggs, according to the characteristics of mites spawning, use cotton swabs (or scotch swabs, etc.) at night or in the labia to take suspicious objects for microscopic examination to find female or eggs. The female is 8 to 13 mm long and 0.3 to 0.5 mm wide. It is linear and has a long and sharp tip. The pointed portion can reach 1/3 of the length of the body, while the eggs are colorless and transparent, and the size is (56-60). Mm × (20 ~ 30) m, composed of eccentric triangular bodies, often asymmetrical on both sides under the light microscope, one side is flat, one side is slightly convex, and the peripheral blood sees eosinophilia.
Diagnosis
Diagnosis and identification of vulvar tsutsugamushi disease
According to the clinical manifestations, careful examination at night can detect milky white worms around the anus or between the labia. It is generally easier to diagnose, and the mites can be diagnosed in the stool or in the perianal and vulva secretions.
Identification with non-specific vulvitis, vulvovaginal candidiasis, vulvovaginal trichomoniasis.
