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AskariasisB77.9
Synonym(s)
Ascaris lumbricoides; Askaridiasis; Askaridosis
HistoryThis section has been translated automatically.
Tyson, 1683; Redi, 1684
DefinitionThis section has been translated automatically.
Roundworm infection.
PathogenThis section has been translated automatically.
Ascaris lumbricoides, roundworm.
EtiopathogenesisThis section has been translated automatically.
Absorption of the worm eggs by eating vegetables and fruit. The larvae hatch in the small intestine, migrate through the intestinal wall and enter the lungs with the blood. Allergic reaction to the worm and its metabolic products (ascarid allergens).
Clinical featuresThis section has been translated automatically.
Clinically, allergic reactions to the worm and its metabolites have been reported in the form of urticaria, asthma attacks, volatile eosinophilic lung infiltrates (Löffler's syndrome), tenesmus and diarrhoea, and, more rarely, haemorrhagic intestinal changes. Accompanying itching.
LaboratoryThis section has been translated automatically.
Bluteosinophilic, complement binding antibodies.
DiagnosisThis section has been translated automatically.
Detection of worm eggs in faeces; ascarids are detectable in the intestine by X-ray contrast examination.
Complication(s)This section has been translated automatically.
The symptoms are: a worm edema due to the clustering of several worms, jaundice due to the immigration of worms into the bile ducts.
TherapyThis section has been translated automatically.
- Means of the 1st choice: Pyrantel (e.g. Helmex): single therapy with 10 mg/kg bw/day as ED (max. 1 g). Cave! Pregnancy!
- Alternative: Mebendazole (e.g. Vermox) 2 times/day 100 mg p.o. for 3 days.
- S.a.u. worm infections.
LiteratureThis section has been translated automatically.
- Redi F (1684) Osservazioni intorno agli animali viventi che si trovano negli animali viventi. Pietro Martini, Florence, Italy
- Kumar CS (2003) Prevalence of anemia and worm infestation in school going girls at Gulbargha, Karnataka. Indian Pediatr 40: 70-72
- Scheidbach H et al. Ascaridiasis as an incidental finding after intraoperative cholangiography during a laparoscopic cholecystectomy. Central Bl Chir 124: 344-345
- Tyson E (1683) Lumbricus teres, or some anatomical observations on the round worm bred in human bodies Philos Trans R Soc (London) 13: 153-161