Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- travel to, or immigration from, endemic areas with poor sanitation, hygiene, and agricultural practices
Otros factores de diagnóstico
- asymptomatic
- co-infection with other parasites
- developmental delay
- malnutrition
- fever
- cough
- wheezing
- dyspnea
- hemoptysis
- hypoxia
- tachypnea
- rhonchi, rales
- retractions
- urticarial skin lesions
- abdominal pain
- anorexia
- dyspepsia
- nausea
- vomiting
- diarrhea
- constipation
- abdominal distension
- reduced or absent bowel sounds
- hypotension
- RUQ tenderness
- hepatomegaly
- jaundice
- signs/symptoms of iron deficiency anemia or kwashiorkor
Factores de riesgo
- history of travel to or residence in endemic areas
- children <14 years
- poverty
- poor sanitation
- poor hygiene
- warm climate
- contact with pigs
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- stool microscopy
- chest x-ray
- abdominal x-ray
Pruebas diagnósticas que deben considerarse
- sputum/gastric aspirate microscopy
- CBC
- contrast study
- barium follow-through
- abdominal ultrasound
- abdominal CT
- ERCP
Pruebas emergentes
- antibodies to Ascaris lumbricoides
- serum IgE
- interleukin (IL)-4, IL-5, and IL-13
- urine-based gas liquid chromatography
Algoritmo de tratamiento
asymptomatic
pneumonitis
gastrointestinal symptoms
Colaboradores
Autores
Michael Cappello, MD
Professor of Pediatrics, Microbial Pathogenesis, and Public Health
Yale School of Medicine
New Haven
CT
Divulgaciones
MC declares that he has no competing interests.
Agradecimientos
Dr Michael Cappello would like to gratefully acknowledge Dr Samantha H. Johnston and Dr Claire Panosian, previous contributors to this topic.
Divulgaciones
SHJ owns a share in a company (Merck & Co., Inc.) that produces ivermectin, an alternative therapy for ascariasis. CP declares that she has no competing interests.
Revisores por pares
Yann Meunier, MD
Director
Stanford Health Promotion Network
Stanford School of Medicine
Palo Alto
CA
Divulgaciones
YM declares that he has no competing interests.
Mohammad Bagher Rokni, PhD
Associate Professor
Department of Medical Parasitology and Mycology
School of Public Health
Tehran University of Medical Sciences
Iran
Divulgaciones
MBR declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
World Health Organization. Soil-transmitted helminthiasis. Jan 2023 [internet publication].Texto completo
Centers for Disease Control and Prevention. Parasites - ascariasis: resources for health professionals. May 2020 [internet publication].Texto completo
World Health Organization. Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. September 2017 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Asthma
- Viral gastroenteritis
- Amebiasis
Más DiferencialesGuías de práctica clínica
- CDC Yellow Book: health information for international travel - helminths, soil-transmitted
- Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups
Más Guías de práctica clínica
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