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Editorial *Corresponding author VirojWiwanitkit, Department of Tropical Medicine Vaginal Helminthiasis: A Little Hainan Medical University, China, Email Submitted: 20 September 2017 Mentioned Problem in Tropical Accepted: 20 September 2017 Published: 20 September 2017 Copyright Medicine © 2017 Wiwanitkit Viroj Wiwanitkit* OPEN ACCESS Department of Tropical Medicine Hainan Medical University, China

The vagina is an important genital organ of any woman. The In the report by Mali and Joshi [6], the prevalence of the problem of vagina is usually a big problem affecting health of the vaginal helminthiasis from India is reported. The prevalence of patient. In female, there are many possible medical disorders of vaginal enterobiasis and vaginal ascariasis are equal to 0.0547 % the vagina ranging for benign disease to malignancy. The poor and0091 %, respectively [6]. The similar rate might be observed vaginal health means the poor woman health and there is a in other developing tropical countries around the world. In the need for prompt diagnosis and treatment. To effectively manage report from USA, the vaginal enterobiasis was observed in 4 from the problem, the practitioner has to realize and recognize the 220,000cases [7]. Mali and Joshi noted that “cytology is useful problem. in the diagnosis of cervical parasitic infections in asymptomatic women [6].” Since helminthisis is still the public health problem The infection is an important group of vagina disorder. in many tropical countries, looking for the vaginal helminthiasis There are several kinds of vaginal infection (such as bacteria, in any female presenting with abnormal vaginal complaint is fungus and protozoa infections). The vaginal helminthiasis is an needed. Looking for possible problem in the cytological smear is interesting problem that is little mentioned. In fact, helminthiasis is an important problem in tropical medicine and there are many pathogenic helminthes. The helminths might infect any organs the routine practice and the finding of the worm egg might be a in the human body. In female, the helminthic infection of genital REFERENCESpossible uncommon finding. organ is possible. The vaginal infection by a worm is important 1. San Cristobal A, de Mundi A. Letter: Enterobiusvermicularis larvae in and need the recognizing by the practitioner. vaginal smears. ActaCytol. 1976; 20: 190-192. Of several kinds of possible vaginal helminthiasis, the 2. Kashyap B, Samantray JC, Kumar S, Jhamb R, Singh AK, Kaur IR. enterobiasis is the most common problem [1]. Enterobiasis is Recurrent paediatric pinworm infection of the vagina as a potential an infection cause by a round work, Enterobiusvermicularis. The reservoir for Enterobiusvermicularis. J Helminthol. 2014; 88: 381- worm might be observed in the vaginal smear and this is the 383. clue for diagnosis [1]. The recurrence of the infection is common 3. Vose L. Pinworm in pregnancy. J Midwifery Womens Health. 2012; 57: despite the use of anti-parasitic drug treatment. Kashyap et al. 184-187. noted that “Recurrent vaginal enterobiasis despite complete 4. Garud MA, Saraiya U, Paraskar M, Khokhawalla J. Vaginal parasitosis. treatment and in the absence of any gastrointestinal involvement ActaCytol. 1980; 24: 34-35. suggests that the vagina is a potential reservoir for E. vermicularis, which supports the theory of rare ectopic enterobiasis through 5. Cousin C, Narraido B, Luton D, Lansoud-Soukate J. [Ascariasis of the cervix]. Med Trop (Mars). 1992; 52: 183-186. the ascending pathway of the female genital tract [2].” It can also be seen in the pregnant woman and the complaint might be an 6. abnormal nocturnal vaginal discharge [3]. Another less common cervical smears. ActaCytol. 1987; 31: 866-868. Mali BN, Joshi JV. Vaginal parasitosis. An unusual finding in routine vaginal helminthiasis is the vaginal ascariasis. This infection can 7. Wong JY, Becker SN. Enterobiusvermicularis ova in routine be diagnosed on vaginal smear as well [4]. Similar to pinworm, cervicovaginal smears. Light and scanning electron microscopic egg of Ascariasis lumbricoides can be seen in vaginal cytology [4]. observations. ActaCytol. 1982; 26: 484-487. In a more severe case, the problem might extend to cervix and cause cervical ascariasis [5].

Cite this article: Wiwanitkit V (2017) Vaginal Helminthiasis: A Little Mentioned Problem in Tropical Medicine. JSM Women’s Health 2(1): 1005.