Ascariasis differential diagnosis: Difference between revisions

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* Differential diagnosis of intestinal ascariasis
* Differential diagnosis of intestinal ascariasis
# Peptic ulcer disease<ref name="pmid2260195">{{cite journal| author=Hamed AD, Akinola O| title=Intestinal ascariasis in the differential diagnosis of peptic ulcer disease. | journal=Trop Geogr Med | year= 1990 | volume= 42 | issue= 1 | pages= 37-40 | pmid=2260195 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2260195  }} </ref>
# Peptic ulcer disease<ref name="pmid2260195">{{cite journal| author=Hamed AD, Akinola O| title=Intestinal ascariasis in the differential diagnosis of peptic ulcer disease. | journal=Trop Geogr Med | year= 1990 | volume= 42 | issue= 1 | pages= 37-40 | pmid=2260195 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2260195  }} </ref>
# Intestinal obstruction from Ascaris lumbricoides can mimic intussusception<ref name="pmid3979231">{{cite journal| author=Katz Y, Varsano D, Siegal B, Bar-Yochai A| title=Intestinal obstruction due to Ascaris lumbricoides mimicking intussusception. | journal=Dis Colon Rectum | year= 1985 | volume= 28 | issue= 4 | pages= 267-9 | pmid=3979231 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3979231  }} </ref>
{| class="wikitable"
{| class="wikitable"
! colspan="7" |Differentiating Ascaris lumbricoides infection from other Nematode infections<ref name="Principles and Practice">Durand, Marlene (2015). "Chapter 288:Intestinal Nematodes (Roundworms)". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.</ref><ref name="Murray and Nadel's Textbook of Respiratory Medicine">{{cite book |last1=Kim |first1=Kami |last2=Weiss |first2=Louis |last3=Tanowitz |first3=Herbert |title=Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition |publisher=Elsevier |date=2016 |pages=682-698 |chapter=Chapter 39:Parasitic Infections |isbn=978-1-4557-3383-5}}</ref>
! colspan="7" |Differentiating Ascaris lumbricoides infection from other Nematode infections<ref name="Principles and Practice">Durand, Marlene (2015). "Chapter 288:Intestinal Nematodes (Roundworms)". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.</ref><ref name="Murray and Nadel's Textbook of Respiratory Medicine">{{cite book |last1=Kim |first1=Kami |last2=Weiss |first2=Louis |last3=Tanowitz |first3=Herbert |title=Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition |publisher=Elsevier |date=2016 |pages=682-698 |chapter=Chapter 39:Parasitic Infections |isbn=978-1-4557-3383-5}}</ref>

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]

Overview

Differential Diagnosis

  • Differential diagnosis of intestinal ascariasis
  1. Peptic ulcer disease[1]
  2. Intestinal obstruction from Ascaris lumbricoides can mimic intussusception[2]
Differentiating Ascaris lumbricoides infection from other Nematode infections[3][4]
Nematode Transmission Direct Person-Person Transmission Duration of Infection Pulmonary Manifestation Location of Adult worm(s) Treatment
Ascaris lumbricoides Ingestion of infective ova No 1-2 years
  • Loeffler syndrome (usually about 9-12 days after exposure to ova)
  • Cough
  • Substernal discomfort
  • Crackles
  • Wheezing
  • Transient opacities
Free in the lumen of the small bowel

(primarily jejunum)

  • Albendazole
  • Mebendazole
  • Pyrantel
  • Ivermectin
  • Levamisole
  • Piperazine
Trichuris trichiura

(whipworm)

Ingestion of infective ova No 1-3 years No pulmonary migration, therefore, no pulmonary manifestation Anchored in the superficial mucosa of cecum and colon
  • Albendazole
  • Mebendazole
Hookworm (Necator americanus and Ancylostoma duodenale) Skin penetration by filariform larvae No
  • 3-5 years (Necator)
  • 1 year (Ancylostoma)
  • Loeffler syndrome
  • Transient opacities
Attached to the mucosa of mid-upper portion of the small bowel
  • Albendazole
  • Mebendazole
  • Levamisole
  • Pyrantel
Strongyloides stercoralis Filariform larvae penetrates skin or bowel mucosa Yes Lifetime of the host
  • Loeffler syndrome
  • Chronic cough
  • Pneumonia or sepsis in hyperinfection
Embedded in the mucosa of the duodenum, jejunum
  • Ivermectin
  • Albendazole
  • Thiabendazole
Enterobius vermicularis (pinworm) Ingestion of infective ova Yes 1 month Extraintestinal migration is very rare[5] Free in the lumen of cecum, appendix, adjacent colon
  • Albendazole
  • Mebendazole
  • Pyrantel
  • Ivermectin
  • Levamisole
  • Piperazine

References

  1. Hamed AD, Akinola O (1990). "Intestinal ascariasis in the differential diagnosis of peptic ulcer disease". Trop Geogr Med. 42 (1): 37–40. PMID 2260195.
  2. Katz Y, Varsano D, Siegal B, Bar-Yochai A (1985). "Intestinal obstruction due to Ascaris lumbricoides mimicking intussusception". Dis Colon Rectum. 28 (4): 267–9. PMID 3979231.
  3. Durand, Marlene (2015). "Chapter 288:Intestinal Nematodes (Roundworms)". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.
  4. Kim, Kami; Weiss, Louis; Tanowitz, Herbert (2016). "Chapter 39:Parasitic Infections". Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition. Elsevier. pp. 682–698. ISBN 978-1-4557-3383-5.
  5. Serpytis M, Seinin D (2012). "Fatal case of ectopic enterobiasis: Enterobius vermicularis in the kidneys". Scand J Urol Nephrol. 46 (1): 70–2. doi:10.3109/00365599.2011.609834. PMID 21879805.


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