Most patients with trichuriasis show little or no clinical evidence of infection. From time to time, however, authors have recognized that unusually heavy infection may result in severe illness. Swartzwelder1 reported the cases of 81 patients admitted to Charity Hospital, New Orleans, because of trichuriasis. Craig and Faust2 have stated that in cases of heavy uncomplicated whipworm infection, the patients show pronounced emaciation, dry skin, mucous diarrhea, rarely with blood, and a reduction in hemoglobin to 40 or 50 per cent. These authors stated that such conditions may suggest severe ancylostomiasis and that patients so parasitized soon succumb to the disease unless the worms are removed. In 1908, Musgrave, Clegg and Polk3 reported 4 cases of severe trichuriasis in the Philippines. The patients were adults, 1 of whom died. Deaths of 3 children, attributed to trichuriasis, have been reported. One was reported by Jamieson and Lauder4
WHITTIER L, EINHORN NH, FLEEK MILLER J. TRICHURIASIS IN CHILDRENA CLINICAL SURVEY OF FIFTY CASES AND REPORTS OF THREE CASES WITH HEAVY INFECTION AND STRIKING CLINICAL SYMPTOMS. Am J Dis Child. 1945;70(5):289–292. doi:10.1001/archpedi.1945.02020230029004
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