Whipworm infection differential diagnosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 109: Line 109:
* [[Levamisole]]
* [[Levamisole]]
* [[Piperazine]]
* [[Piperazine]]
|}
The table below summarizes the findings that differentiate Strongyloidiasis from peptic ulcer disease, Intussusception and bile duct stone:
{| class="wikitable"
!Disease
!Common findings
!Differentiating features
!Laboratory findings
|-
|Peptic ulcer disease
|
* [[Abdominal pain]],
* [[Bloating]] and abdominal fullness
* [[Nausea]], and lots of [[vomiting]]
* [[Loss of appetite]] and [[weight loss]];
* [[Hematemesis]]
|
* Epigastric with severity relating to mealtimes
* Waterbrash (rush of saliva after an episode of regurgitation to dilute the acid in esophagus)
|
* Rapid urease testing positive
* H. pylori on histology
* Negative stool exam and serology
|-
|Intussusception
|
* Abdominal pain that is colicky and intermittent
*
|
* Currant jelly stools
* Most cases occur in children ages 6 months - 2 years
|
* Ultrasound findings include the target and pseudokidney signs
|-
|Bile duct stone
|
* Acute abdominal pain
* Nausea and vomiting
|
* Pain is usually located in the upper right abdominal area radiates to shoulders.
* Jaundice.
|
*Bilirubin
*Abnormal liver function tests
*Elevation of pancreatic enzymes
|}
|}



Revision as of 18:27, 24 July 2017

Whipworm infection Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Whipworm Infection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Whipworm infection differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Whipworm infection differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Whipworm infection differential diagnosis

CDC on Whipworm infection differential diagnosis

Whipworm infection differential diagnosis in the news

Blogs on Whipworm infection differential diagnosis

Directions to Hospitals Treating Whipworm infection

Risk calculators and risk factors for Whipworm infection differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

Trichuris trichiura must be differentiated from other nematode infections such as ascariasis, hook worm infection and Strongyloides stercoralis that can present with diarrhea and abdominal pain.

Differential Diagnosis

Trichuris trichiura must be differentiated from other nematode infections such as ascariasis, hook worm infection and Strongyloides stercoralis that can present with diarrhea and abdominal pain.

Differentiating Strongyloidiasis from other Nematode infections[1][2][3]
Nematode Transmission Direct Person-Person Transmission Duration of Infection Pulmonary Manifestation Location of Adult worm(s) Treatment
Trichuris trichiura

(whipworm)

Ingestion of infective ova No 1-3 years
  • No pulmonary migration, therefore, no pulmonary manifestation
Anchored in the superficial mucosa of cecum and colon
Strongyloides stercoralis Filariform larvae penetrate skin or bowel mucosa Yes
  • Lifetime of the host
Embedded in the mucosa of the duodenum, jejunum
Ascaris lumbricoides Ingestion of infective ova No 1-2 years Free air in the lumen of the small bowel

(primarily jejunum)

Hookworm

(Necator americanus and Ancylostoma duodenale)

Skin penetration by filariform larvae No Attached to the mucosa of mid-upper portion of the small bowel
Enterobius vermicularis

(pinworm)

Ingestion of infective ova Yes
  • 1-month
  • Extraintestinal migration is very rare
Free air in the lumen of cecum, appendix, adjacent colon

References

  1. Durand, Marlene (2015). "Chapter 288:Intestinal Nematodes (Roundworms)". Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.
  2. Kim, Kami; Weiss, Louis; Tanowitz, Herbert (2016). "Chapter 39:Parasitic Infections". Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition. Elsevier. pp. 682–698. ISBN 978-1-4557-3383-5.
  3. Serpytis M, Seinin D (2012). "Fatal case of ectopic enterobiasis: Enterobius vermicularis in the kidneys". Scand J Urol Nephrol. 46 (1): 70–2. doi:10.3109/00365599.2011.609834. PMID 21879805.

Template:WH Template:WS