Summary
Definition
病史和体格检查
关键诊断因素
- travel to, or immigration from, endemic areas with poor sanitation, hygiene, and agricultural practices
其他诊断因素
- 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
危险因素
- history of travel to or residence in endemic areas
- children <14 years
- poverty
- poor sanitation
- poor hygiene
- warm climate
- contact with pigs
诊断性检查
首要检查
- stool microscopy
- chest x-ray
- abdominal x-ray
需考虑的检查
- sputum/gastric aspirate microscopy
- CBC
- contrast study
- barium follow-through
- abdominal ultrasound
- abdominal CT
- ERCP
新兴检查
- antibodies to Ascaris lumbricoides
- serum IgE
- interleukin (IL)-4, IL-5, and IL-13
- urine-based gas liquid chromatography
治疗流程
asymptomatic
pneumonitis
gastrointestinal symptoms
撰稿人
作者
Michael Cappello, MD
Professor of Pediatrics, Microbial Pathogenesis, and Public Health
Yale School of Medicine
New Haven
CT
利益声明
MC declares that he has no competing interests.
鸣谢
Dr Michael Cappello would like to gratefully acknowledge Dr Samantha H. Johnston and Dr Claire Panosian, previous contributors to this topic.
利益声明
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.
同行评议者
Yann Meunier, MD
Director
Stanford Health Promotion Network
Stanford School of Medicine
Palo Alto
CA
利益声明
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.
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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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