Ascariasis causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Imtiaz Ahmed Wani, M.B.B.S; Fatimo Biobaku, M.B.B.S

For the microbiologic aspects of the causative organism, see Ascaris lumbricoides

Overview

Ascariasis is a soil helminth infection caused by the nematode Ascaris lumbricoides.[1]

Causes

Genus and Species Ascaris lumbricoides
Common Name Giant Intestinal Roundworm
Etiologic Agent of: Ascariasis
Infective stage Embryonated Egg
Definitive Host Man
Portal of Entry Mouth
Mode of Transmission Ingestion of Embryonated egg through contaminated food or water
Habitat Small Intestine
Pathogenic Stage Adult Larva
Mode of Attachment Retention in the mucosal folds using pressure
Mode of Nutrition Feeding of Chyme
Pathogenesis Larva – pneumonitis, Loffler’s syndrome;

Goes through a Blood-Lung Phase (Hookworm and Strongyloides stercoralis also have a blood-lung phase); Adult worm– Obstruction, Liver abscess, Appendicitis.

Laboratory diagnosis Direct Fecal Smear; Concentration methods such as Kato-Katz
Treatment Albendazole, Mebendazole, or Pyrantel Pamoate
Diagnostic Feature - Adult Female - prominent genital girdle
Diagnostic Feature - Egg Coarse mammilated albuminous coating


References

  1. 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.


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