Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- travel to, or immigration from, endemic areas with poor sanitation, hygiene, and agricultural practices
Outros fatores diagnósticos
- asymptomatic
- co-infection with other parasites
- developmental delay
- malnutrition
- fever
- cough
- wheezing
- dyspnea
- hemoptysis
- hypoxia
- tachypnea
- rhonchi, rales
- intercostal 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
Fatores de risco
- history of travel to or residence in endemic areas
- children <14 years
- poverty
- poor sanitation
- poor hygiene
- warm climate
- contact with pigs
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- stool microscopy
- CXR
- abdominal x-ray
Investigações a serem consideradas
- sputum/gastric aspirate microscopy
- CBC
- contrast study
- barium follow-through
- abdominal ultrasound
- abdominal CT
- endoscopic retrograde cholangiopancreatography (ERCP)
Novos exames
- antibodies to Ascaris lumbricoides
- serum IgE
- interleukin (IL)-4, IL-5, and IL-13
- urine-based gas liquid chromatography
Algoritmo de tratamento
asymptomatic
pneumonitis
gastrointestinal symptoms
Colaboradores
Autores
Michael Cappello, MD
Professor of Pediatrics, Microbial Pathogenesis, and Public Health
Yale School of Medicine
New Haven
CT
Declarações
MC declares that he has no competing interests.
Agradecimentos
Dr Michael Cappello would like to gratefully acknowledge Dr Samantha H. Johnston and Dr Claire Panosian, previous contributors to this topic, and Alexis Godoy for editorial assistance.
Declarações
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
Yann Meunier, MD
Director
Stanford Health Promotion Network
Stanford School of Medicine
Palo Alto
CA
Declarações
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
Declarações
MBR declares that he has no competing interests.
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Declarações
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Referências
Principais artigos
World Health Organization. Soil-transmitted helminthiasis. Jan 2023 [internet publication].Texto completo
Khuroo MS. Ascariasis. Gastroenterol Clin North Am. 1996;25:553-77. Resumo
Centers for Disease Control and Prevention. Soil-transmitted helminths: clinical care of soil-transmitted helminth. Jun 2024 [internet publication].Texto completo
World Health Organization. Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. Sep 2017 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Asthma
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Mais Diagnósticos diferenciaisDiretrizes
- Clinical care of soil-transmitted helminths
- Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups
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