Intestinal Nematodes - ASCARIS LUMBRICOIDES Flashcards
Giant Roundworm/Ascariasis
MC and largest nematode
soil transmitted helminth (STH)
Ascaris lumbricoides
- SMALL intestine
- ingestion of embryonated eggs
Diagnostic test for Ascaris
Direct Fecal Smear
Kato-Katz technique
Pathogenesis of Ascaris
Major damage occurs during LARVAL MIGRATION
LUNGS - principal site of tissue reaction
*inflammation w/ EOSINOPHILIC exudate occurs
heavy worm burden – MALNUTRITION
LUNG PHASE
L3 – L5
LOEFFLER’S SYNDROME - hypersensitivity pneumonitis
INTESTINAL PHASE
L5 – ADULT WORMS
acute intestinal obstruction
Malabsorption syndrome
nutrient deficiencies
WANDERING WORMS
d.t. erratic behavior of adult worms
HEPATOBILIARY ASCARIASIS
PANCREATITIS, APPENDICITIS
Treatment of Ascariasis
Albendazole
cough, eosinophilia and pulmonary infiltrates
LOFFLER SYNDROME