Difference between revisions of "Ascaris lumbricoides"

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==Background==
 
==Background==
 +
*Morbidity is related to number of worms harbored in intestines
  
 
==Clinical Features==
 
==Clinical Features==
*Morbidity is related to number of worms harbored in intestines
 
 
*Light infections often asymptomatic
 
*Light infections often asymptomatic
 
*Heavier infections with variety of manifestations including GI symptoms (abdominal pain, diarrhea, blood in stool, rectal prolapse), malaise, weakness, impaired cognitive / physical development, malnutrition<ref>Wilcox S, Thomas S, Brown D, Nadel E.  “Gastrointestinal Parasite.”  The Journal of Emergency Medicine, 2007; 33(3):277-280</ref></ref>
 
*Heavier infections with variety of manifestations including GI symptoms (abdominal pain, diarrhea, blood in stool, rectal prolapse), malaise, weakness, impaired cognitive / physical development, malnutrition<ref>Wilcox S, Thomas S, Brown D, Nadel E.  “Gastrointestinal Parasite.”  The Journal of Emergency Medicine, 2007; 33(3):277-280</ref></ref>
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==Diagnosis==
 
==Diagnosis==
 +
  
 
==Management==
 
==Management==
*Albendazole 400 mg x 1 dose OR mebendazole 100 mg BID x 3 days (both high efficacy)
+
*Albendazole 400 mg x 1 dose '''OR''' mebendazole 100 mg BID x 3 days (both high efficacy)
  
 
==Disposition==
 
==Disposition==
 +
*Generally may be discharged
  
 
==See Also==
 
==See Also==
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==External Links==
 
==External Links==
  
==Sources==
+
 
 +
==References==
 
<references/>
 
<references/>
  
 
[[Category:ID]]
 
[[Category:ID]]
 
[[Category:TropMed]]
 
[[Category:TropMed]]

Revision as of 04:07, 18 August 2015

Background

  • Morbidity is related to number of worms harbored in intestines

Clinical Features

  • Light infections often asymptomatic
  • Heavier infections with variety of manifestations including GI symptoms (abdominal pain, diarrhea, blood in stool, rectal prolapse), malaise, weakness, impaired cognitive / physical development, malnutrition[1]</ref>

Löffler’s syndrome

  • Result of Ascaris or hookworm larval transit through the lungs
  • Characterized by persistent non-productive cough, chest pain, wheezing, rales, pulmonary infiltrates on CXR and marked eosinophilia

Differential Diagnosis

Helminth infections

Cestodes (Tapeworms)

Trematodes (Flukes)

Nematodes (Roundworms)

Diagnosis

Management

  • Albendazole 400 mg x 1 dose OR mebendazole 100 mg BID x 3 days (both high efficacy)

Disposition

  • Generally may be discharged

See Also

External Links

References

  1. Wilcox S, Thomas S, Brown D, Nadel E. “Gastrointestinal Parasite.” The Journal of Emergency Medicine, 2007; 33(3):277-280