We present a case report of a 42-year-old Asian-Indian female presenting with a long-standing history of severe recurrent postprandial epigastric pain, requiring multiple hospital admissions. [ncbi.nlm.nih.gov]

• Pseudotumor

  RESULTS: Sonographic characteristics of A. lumbricoides were single or multiple echogenic nonshadowing linear, tubular structures; curved strips or rodlike with or without echoic tubular central lines; and a spaghettilike appearance, a target sign, or a pseudotumor [ncbi.nlm.nih.gov]

  - Liver pseudotumor: a rare manifestation of hepatic granulomata caused by Ascaris lumbricoides ova. Amer. J. Gastroent., 95: 2099-2101, 2000. [ Links ] 11. GÓMEZ, J.M. - Caso clínico de la Unidad de Medicina Interna: absceso hepático piógeno. [scielo.br]

  Single worms, bundles of worms, or a pseudotumor-like appearance may be seen [35]. Individual body segments of worms may be visible, and on prolonged scanning, the worms will show curling movements [36]. [stanford.edu]

• Rhinitis

  The prevalence rate of ascariasis was not higher in the group of patients with atopic diseases (bronchial asthma, allergic rhinitis, atopic dermatitis) and co-existing ascariasis did not affect the eosinophil counts in the peripheral blood. [ncbi.nlm.nih.gov]

• Abdominal Pain

  A 28-year-old female presented to the emergency department with right upper quadrant abdominal pain, syncope, and seizure-like activity. [ncbi.nlm.nih.gov]

  Upper endoscopy was performed in a 19-year-old man from Afghanistan because of four days of watery diarrhea and dysphagia without abdominal pain. Stool examination revealed no parasitic ova, and cultures were negative for bacterial pathogens. [nejm.org]

• Nausea

  This essay presented a 78-year-old female case had severe abdominal pain, nausea and constipation for seven days and the pylorus was obstructed by A. lumbricoides and diagnosis was obtained by endoscopy. [ncbi.nlm.nih.gov]

  Description: This 34 year old female resident of rural China presented with nausea and vomiting, vague abdominal pain and fever. An upper endoscopy was performed in Beijing. [web.archive.org]

  When the worms are in the intestines, they may cause nausea, vomiting, irregular bowel movements, stomach pain, weight loss or malnutrition, or visible worms in vomit or stool. [study.com]

  Abdominal distension and pain, nausea, and diarrhea are also typical symptoms (1). Among school children, the infection is associated with appetite loss, lactose maldigestion, impaired weight gain, and a reduction in cognitive abilities. [asmscience.org]

• Dysphagia

  Upper endoscopy was performed in a 19-year-old man from Afghanistan because of four days of watery diarrhea and dysphagia without abdominal pain. Stool examination revealed no parasitic ova, and cultures were negative for bacterial pathogens. [nejm.org]

  An old female presented with dysphagia after an intake of several red bean buns and haw jellies. The barium meal examination revealed a spherical defect in the lower esophagus. [ncbi.nlm.nih.gov]

  A rare cause of dysphagia: pharyngeal ascariasis. J Parasit Dis. 2016 Dec;40(4):1411–3. Warrington S, Baisley K, Boyce M, Tejura B, Morocutti A, Miller N. [karger.com]

• Steatorrhea

  With relatively heavy infections, impaired absorption of dietary proteins, lactose and vitamin A has been noted, and steatorrhea may occur. [stanford.edu]

• Failure to Thrive

  Complications Chronic infestation with A. lumbricoides may be associated with a poor nutritional state, anaemia, failure to thrive and impaired cognition, particularly in children. [patient.info]

• Withdrawn

  * Piperazine citrate — Piperazine citrate (50 to 75 mg/kg QD up to a maximum of 3.5 g for 2 days) was a frequent treatment regimen, but it is now being withdrawn from the market in many developed countries because the other alternatives are less toxic [stanford.edu]

• Encephalopathy

  A rare manifestation of ascariasis: encephalopathy. J Emerg Med. 2005 Jan. 28(1):87-8. [Medline]. Lamberton PH, Jourdan PM. Human Ascariasis: Diagnostics Update. Curr Trop Med Rep. 2015. 2 (4):189-200. [Medline]. Pratt LT, Blachar A. [emedicine.com]

The diagnosis requires an experienced radiologist and knowledge by the clinician of treatment options and of when a surgeon should be involved. [ncbi.nlm.nih.gov]

After treatment vast quantities of worms can be passed in the stool, and impressive photos of the results of treatment are noteworthy. [ascarislumbricoides.org]

The shorter the treatment interval was, the lower the egg/worm positive rates and worm burden were. [parasitol.kr]

Prognosis Once intestinal infection is detected and treated, the prognosis is excellent. If obstructive or respiratory complications have occurred, the prognosis is less favorable. [unboundmedicine.com]

What is the prognosis of ascariasis? The prognosis of ascariasis for appropriately diagnosed and treated ascariasis is very good. However, the prognosis begins to decline if the patient develops a high number of worms in the body (worm burden). [medicinenet.com]

After discharge and due to lack of follow up and self-care, she became infected again, this time making her prognosis more complex and her clinical presentation more difficult. [academic.oup.com]

Prognosis [ 5 ] Uncomplicated infections respond well to treatment with anthelmintics. Left untreated, some infections will resolve spontaneously and adult worms usually cause little pathology if they remain in the small intestine. [patient.info]

Prognosis The prognosis for ascariasis is excellent. However, in higher worm burden infections, serious complications such as obstruction are more common. [emedicine.com]

Pancreatitis is a common disease in the United States, with the most likely etiologies being biliary tract disease and alcohol use. [ncbi.nlm.nih.gov]

Infectious liver abscesses have a diverse etiology. [scielo.br]

MeSH terms MeSH terms Adolescent Adult Aged Aged, 80 and over Animals Ascariasis/complications Ascariasis/epidemiology* Ascaris lumbricoides/immunology Ascaris lumbricoides/isolation & purification* Brazil/epidemiology Child Child, Preschool Diabetes [ncbi.nlm.nih.gov]

The epidemiology and control of intestinal helminths in the Pulicat region of Southern India. I. Study design and pre- and post-treatment observations on Ascaris lumbricoides infection. [cambridge.org]

Open Access Article 1,2,3,†, Ya Yang 1,2,3,†, Yingjian Wang 1,2,3, Yu Yang 1,2,3, Shurong Dong 1,2,3, Yue Chen 4, Qingwu Jiang 1,2,3 and Yibiao Zhou 1,2,3,* 1 Department of Epidemiology, School of Public Health, Fudan University, 138 Yi Xue Yuan Road, [doi.org]

The biliary ascariasis pathophysiology is commented. [ncbi.nlm.nih.gov]

Pathophysiology: A lumbricoides is the largest of the intestinal nematodes affecting humans, measuring 15-35 cm in length. Infection begins with the ingestion of embryonated (infective) eggs in feces-contaminated soil. [web.archive.org]

Especially those who live in crowded and dirty, places with improper drainage of sewage [ 8 ], parasite causing them a slow development, affecting both physical and mental health [ 9, 10 ] by nutritional deficiencies induced [ 11, 12 ] by several pathophysiological [omicsonline.org]

Pathophysiology Fertilized eggs are ingested from soil contaminated with human feces. Larvae hatch in the small intestine and migrate to cecum and colon. [unboundmedicine.com]

Pathophysiology A lumbricoides is the largest of the intestinal nematodes affecting humans, measuring 15-35 cm in length in adulthood. Infection begins with the ingestion of embryonated (infective) eggs in feces-contaminated soil or foodstuffs. [emedicine.com]

We wanted to emphasize that because helminth infestation is easily overlooked, the diagnosis of ascariasis should be considered in patients who live in endemic areas and treated timely to prevent severe complications. [ncbi.nlm.nih.gov]