Oesophagostomiasis B81.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Nematode infection by Oesphagostomum species.

Pathogen
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  • Oesphagostomum species, mainly Oesophagostomus bifurcum (nematode, nematode).
  • Occurring in monkeys, ruminants and pigs. In humans, infection by 3rd larvae which penetrate the intestinal wall. Some of these larvae quickly develop into adult worms which migrate back into the intestinal lumen, sometimes encapsulating some immature worms.
  • Some larvae also enter the omentum or the abdominal wall, adults produce eggs in the intestinal lumen, which are excreted, from them the infectious 3rd larvae develop in 5-7 days.
  • In humans only larvae are found in the intestinal mucosa.

Occurrence/Epidemiology
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Performing in Uganda and Nigeria.

Clinical features
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Abdominal pain, intra-abdominal abscesses, eosinophilic granulomas of the intestine, symptoms of ileus. Epigastric or perumbilical abscesses are not uncommon on the integument.

Diagnosis
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  • Microscopy in faeces: detection of the presence of larvae and larvae in nodes.
  • Culture (Harada-Mori): hatching of larvae.

Differential diagnosis
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Colon carcinoma.

Complication(s)
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Abscesses, ileus.

Therapy
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Albendazole: 400 mg p.o. as a single dose.

Literature
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  1. Ziem JB et al (2006) Mass Treatment wirth albendazol reduces the prevalence and severity of esophagostomum-induced nodular pathology in northern Ghana. Trans R Soc Trop Med Hyg 100: 760-766
  2. Ziem JB, Olsen A et al (2006) Distribution and clustering of Oesphagostomum bifurcum and hookworm infections in northern Ghana. Parasitology 132: 525-534

Outgoing links (1)

Albendazole;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020