Is there a connection between paediatric acute idiopathic scrotal oedema and intestinal worm infestation?
Article first published online: 19 OCT 2011
© 2011 The Authors. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 48, Issue 1, pages 26–29, January 2012
How to Cite
Erez, I., Zifman, E., Nersesjanz, I., Lazar, L., Bucklan, G. and Gutermacher, M. (2012), Is there a connection between paediatric acute idiopathic scrotal oedema and intestinal worm infestation?. Journal of Paediatrics and Child Health, 48: 26–29. doi: 10.1111/j.1440-1754.2011.02182.x
- Issue published online: 18 JAN 2012
- Article first published online: 19 OCT 2011
- Accepted for publication 27 February 2011.
- idiopathic scrotal oedema;
- intestinal worm infestation;
- parasite infestation;
Aim: Based on our experience with acute idiopathic scrotal oedema (AISO) and observations of the incidence of intestinal worm infestation (IWI), we decided to test the hypothesis that IWI occurs more frequently among children with AISO than it does in the general population.
Methods: A retrospective questionnaire-based study was conducted comparing the frequency of IWI between children who had AISO and a matched control group who had inguinal hernia surgery in our Pediatric Surgery Department during 2003–2009. This second group was chosen to represent the incidence of IWI in the paediatric community in our region. Records of all patients admitted to the Department of Pediatric Surgery for AISO during 2003–2009 were reviewed.
Results: Seventeen out of thirty-eight (44.7%) AISO patients had a history of IWI compared with 5/38 (13.1%) in the control group (P= 0.0047).
Conclusions: Our data clearly show that AISO in children is frequently associated with a history of IWI. Although well-documented, prospective studies are needed to establish these findings, we feel that this report provides a reasonable clue to a possible aetiology of AISO.