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Ascaris Lumbricoides


Presentation

  • 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]
  • In this report, a case of spontaneous missed abortion caused by Ascaris lumbricoides is presented and data from the literature are reviewed, A 26-year-old pregnant woman was presented with abnormal genital bleeding, abdominal pain.[ncbi.nlm.nih.gov]
  • Although infection can pass asymptomatic, some can present with complications. The reported case is a Syrian female patient presented with acute on top of chronic pancreatitis due to A. lumbricoides.[ncbi.nlm.nih.gov]
  • INTRODUCTION: Ascaris lumbricoides-infected patients present lower prevalence of severe atopic dermatitis.[ncbi.nlm.nih.gov]
  • Ascaris lumbricoides is the second most common intestinal parasite world-wide and, although the infection can be asymptomatic, in some cases it can present with complications, such as acute pancreatitis.[ncbi.nlm.nih.gov]
Camping
  • We report a case of ascariasis in a female patient who was admitted to our hospital after she had left the informal refugee camp of Calais in the north of France.[ncbi.nlm.nih.gov]
  • New migrants who are refugees typically come from refugee camps which often are constrained environments with poor sanitation.[iwaponline.com]
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]
  • In this report, a case of spontaneous missed abortion caused by Ascaris lumbricoides is presented and data from the literature are reviewed, A 26-year-old pregnant woman was presented with abnormal genital bleeding, abdominal pain.[ncbi.nlm.nih.gov]
  • A case is reported of a woman who lived in a rural area with a chronic illness that consisted of weight loss and abdominal pain in the epigastrium and upper right quadrant.[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]
  • 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]
Nausea
  • 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]
  • 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]
  • A 44-year-old Korean man was admitted because of nausea and right upper quadrant pain that did not respond to medical control and had worsened 1 day before admission.[ncbi.nlm.nih.gov]
  • 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]
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]
Right Upper Quadrant Pain
  • A 44-year-old Korean man was admitted because of nausea and right upper quadrant pain that did not respond to medical control and had worsened 1 day before admission.[ncbi.nlm.nih.gov]

Workup

Pericardial Effusion
  • Several imaging modalities revealed acute cholecystitis and pericarditis with massive pericardial effusion. A marked peripheral blood eosinophilia was observed, and the eruption was diagnosed as urticaria.[ncbi.nlm.nih.gov]
Air Bronchogram
  • One child with extensive consolidation and air bronchogram in both lungs died before treatment.[ncbi.nlm.nih.gov]
Bowel Distention
  • Abdominal radiographs showed air-fluid levels with mild bowel distention and shadows of roundworms. The diagnosis of IO by A lumbricoides. infestation was established and surgical approach scheduled.[ncbi.nlm.nih.gov]
Penicillium
  • Trichuria, FECRT, Strongyloides stercoralis, AADs, Paraherquamide, Penicillium paraherquii, Trichostrongylus colubriformis, Mycelia sterilia, Camellia japonica, FMRFamide, H. polygyrus, TNFS13B, TROPOMYOSIN, NEMATODE PROTEASE, thymic stromal lymphopoietin[dx.doi.org]
Colitis
  • Immunomodulatory effects were evaluated at two intraperitoneal doses (0.5 and 0.25 μg/G) on mice with DSS-induced colitis.[ncbi.nlm.nih.gov]

Treatment

  • CONCLUSIONS: This study found that 4-monthly treatment w more effective than single annual treatment.[ncbi.nlm.nih.gov]
  • Treatment of A. lumbricoides co-infection may delay HIV-1 disease progression by reducing helminth-induced, IL-10-mediated immunosuppression.[ncbi.nlm.nih.gov]
  • We describe a case of the successful treatment of gallbladder ascariasis with conservative therapy.[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]
  • After colonoscopic removal of the worm and treatment with mebendazole during three days the patient's symptoms had completely resolved. Medical treatment with benzimidazole derivatives is easy and inexpensive.[ncbi.nlm.nih.gov]

Prognosis

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

Etiology

  • 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]
  • The most common etiology of postpartum hemorrhage is uterine atony, although hematologic disorders may be present. A 36-year-old nulliparous woman underwent puerperal hysterectomy caused by uncontrolled postpartum hemorrhage.[ncbi.nlm.nih.gov]
  • Although the etiology of eosinophilic cholecystitis is still obscure, the postulated causes include allergies, parasites, hypereosinophilic syndrome, and eosinophilic gastroenteritis.[ncbi.nlm.nih.gov]
  • We suspected that Ascaris lumbricoides infestation was an etiologic factor for the development of chronic intussusception in the child.[ncbi.nlm.nih.gov]
  • Infectious liver abscesses have a diverse etiology.[scielo.br]

Epidemiology

  • Individual predisposition was found to be of limited epidemiological significance once household clustering had been accounted for.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • Predictions are compared with observed post-treatment epidemiological patterns.[ncbi.nlm.nih.gov]
  • The epidemiology and treatment of ascariasis are briefly discussed.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • 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]
  • Discussions The literature describes cases of fatal airway obstruction in children with Ascaris lumbricoides , some occurring secondary general anesthesia, without being able to explain the pathophysiological mechanism [ 27 , 28 ] in these situations,[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]

Prevention

  • Detection, treatment and follow-up of these patients, and the organization of preventive measures remain challenging.[ncbi.nlm.nih.gov]
  • We also discuss options for prevention and treatment of this rare complication of a common infestation.[ncbi.nlm.nih.gov]
  • 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]
  • Early recognition of this condition, based on local prevalence, can prevent serious surgical complications, morbidity, and mortality associated with intestinal obstruction due to A. lumbricoides.[ncbi.nlm.nih.gov]
  • We conducted a cross sectional study of children aged 1 - 6 years living on a plantation to determine the prevalence of ascariasis and factors associated with it in order to educate on prevention and to implement treatment programs.[ncbi.nlm.nih.gov]

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