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]
Entire Body System
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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]
Respiratoric
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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]
Gastrointestinal
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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]
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]
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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]
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Dysphagia
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]
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]
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]
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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]
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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
X-Ray
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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]
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Air Bronchogram
One child with extensive consolidation and air bronchogram in both lungs died before treatment. [ncbi.nlm.nih.gov]
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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]
Treatment
CONCLUSIONS: This study found that 4-monthly treatment w more effective than single annual treatment. [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]
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]
Infectious liver abscesses have a diverse etiology. [scielo.br]
Epidemiology
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]
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]
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]
Prevention
Detection, treatment and follow-up of these patients, and the organization of preventive measures remain challenging. [ncbi.nlm.nih.gov]