title: Trichuris dysentery syndrome: Do we learn enough from case studies?
abstract: Trichuris Dysentery Syndrome (TDS) is a severe persistent trichuriasis associated with heavy worm build-up in the colon that continues to be neglected and underestimated in endemic countries. Trichuriasis is most prevalent in children in tropical countries, and that increases the risk of TDS. We reported a series of four preschool children of both genders chronically having TDS over a period ranging from several months to years presenting with anaemia. The hemoglobin levels ranged from 4.6 to 9.1 g/dl on first admissions. Despite treatment, the cases were reported to have failure to thrive with persistent anaemia. It was concluded that TDS should be considered in endemic areas among children presenting with chronic bloody diarrhea and anaemia.
authors.affiliation: Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
authors.forename: M
authors.initials: M
authors.lastname: Zeehaida
authors.affiliation: Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Zueter
authors.affiliation: Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
authors.forename: N Z
authors.initials: NZ
authors.lastname: Zairi
authors.affiliation: Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Zunulhisham
mesh_terms: D000740:Anemia / Q000209:etiology / Q000473:pathology; D000818:Animals; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003106:Colon / Q000469:parasitology* / Q000473:pathology*; D004403:Dysentery / Q000150:complications / Q000209:etiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D017211:Treatment Failure; D014257:Trichuriasis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D014258:Trichuris / Q000302:isolation & purification*