Diphyllobothriasis differential diagnosis: Difference between revisions

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__NOTOC__
__NOTOC__
{{Diphyllobothriasis}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Diphyllobothriasis]]
{{CMG}} {{AE}} {{MMF}}
{{CMG}}; {{AE}} {{MMF}}
==Overview==
==Overview==
Enterobiasis must be differentiated from threadworm infections like taeniasis, hymenolepiasis, and schistosomiasis.
[[Diphyllobothriasis]] must be differentiated from tapeworm infections like [[taeniasis]], [[hymenolepiasis]], and [[schistosomiasis]].


==Differentiating diphyllobothriasis from other diseases==
==Differentiating diphyllobothriasis from other diseases==
[[Diphyllobothriasis]] must be differentiated from tapeworm infections like [[taeniasis]], [[hymenolepiasis]], and [[schistosomiasis]].<ref name="Medical microbiology">{{cite book | last = Baron | first = Samuel | title = Medical microbiology | publisher = University of Texas Medical Branch at Galveston | location = Galveston, Tex | year = 1996 | isbn = 0-9631172-1-1 }}</ref>
{| class="wikitable"
|-
|-
! style="background:#4479BA; color: #FFFFFF;" |Nematode
! style="background:#4479BA; color: #FFFFFF;" |Infections
! style="background:#4479BA; color: #FFFFFF;" |Transmission
! style="background:#4479BA; color: #FFFFFF;" |Common causative threadworms
! style="background:#4479BA; color: #FFFFFF;" |Direct Person-Person Transmission
! style="background:#4479BA; color: #FFFFFF;" |Suggestive findings
! style="background:#4479BA; color: #FFFFFF;" |Duration of Infection
! style="background:#4479BA; color: #FFFFFF;" |Diagnostic approach
! style="background:#4479BA; color: #FFFFFF;" |Pulmonary Manifestation
! style="background:#4479BA; color: #FFFFFF;" |Location of Adult worm(s)
! style="background:#4479BA; color: #FFFFFF;" |Treatment
! style="background:#4479BA; color: #FFFFFF;" |Treatment
|-
|-
| align="center" style="background:#DCDCDC;" |[[Ascaris lumbricoides]]
| align="center" style="background:#DCDCDC;" |[[Diphyllobothriasis]]
|Ingestion of infective ova
|No
|1-2 years
|
|
* [[Löffler's syndrome]] (usually about 9-12 days after exposure to ova)
* ''[[Diphyllobothrium|Diphyllobothrium latum]]''
* [[Cough]]
 
* Substernal discomfort
* [[Crackles]]
* [[Wheezing]]
* Transient opacities
|Free in the lumen of the small bowel
(primarily jejunum)
|
|
* [[Albendazole]]
*[[Epigastric pain]]
*[[Diarrhea]]
*[[Fatigue]]
*[[Nausea]]
*[[Vomiting]]
*[[Numbness]]
*[[Tingling]]


* [[Mebendazole]]
|
 
*[[Stool examination]] for the eggs and adults
* [[Pyrantel pamoate]]
*[[PCR]]
 
|
* [[Ivermectin]]
* [[Praziquantel]]
 
|-
* [[Levamisole]]


* [[Piperazine]]
| align="center" style="background:#DCDCDC;" |[[Taeniasis]]
|-
| align="center" style="background:#DCDCDC;" |[[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
|
|
* [[Albendazole]]
* [[Taenia solium|''Taenia solium'']]
* [[Taenia saginata|''Taenia saginata'']]


* [[Mebendazole]]
|-
| align="center" style="background:#DCDCDC;" |[[Hookworm]]
([[Necator americanus]] and [[Ancylostoma duodenale]])
|Skin penetration by filariform larvae
|No
|
|
* 3-5 years (Necator)
*[[Nausea]]
* 1 year (Ancylostoma)
*[[Vomiting]]
*[[Epigastric pain]]
|
|
* [[Löffler's syndrome]]
*[[Stool examination]] for the eggs and [[Proglottid|proglottids]]
* Transient opacities
*[[Computed tomography|Brain CT scan]] or Biopsy (for cysticercosis)
|Attached to the mucosa of mid-upper portion of the [[small bowel]]
|
|
* [[Albendazole]]
* [[Praziquantel]]
 
* [[Mebendazole]]
 
* [[Levamisole]]
 
* [[Pyrantel pamoate]]
|-
|-
| align="center" style="background:#DCDCDC;" |[[Strongyloides stercoralis]]
| align="center" style="background:#DCDCDC;" | [[Hymenolepiasis]]
|Filariform larvae penetrate skin or bowel mucosa
||
|Yes
* [[Hymenolepis infection causes|''Hymenolepis nana'']]
|
|
* Lifetime of the host
*[[Nausea]]
*[[Vomiting]]
*[[Abdominal pain]]
*[[Dizziness]]
|
|
* [[Löffler's syndrome]]
*[[Stool examination]] for the eggs and [[Proglottid|proglottids]]
* Chronic [[cough]]
* [[Pneumonia]] or [[sepsis]] in hyperinfection
|Embedded in the mucosa of the [[duodenum]], [[jejunum]]
|
|
* [[Ivermectin]]
* [[Praziquantel]]
* [[Albendazole]]
* [[Thiabendazole]]
|-
|-
| align="center" style="background:#DCDCDC;" |[[Enterobius vermicularis]]  
| align="center" style="background:#DCDCDC;" | [[Schistosomiasis]]
([[pinworm]])
|
|Ingestion of infective [[ova]]
* [[Schistosoma japonicum|''Schistosoma japonicum'']]
|Yes
* [[Schistosoma mansoni|''Schistosoma mansoni'']]
* [[Schistosoma haematobium|''Schistosoma haematobium'']]
|
|
* 1-month
*[[Abdominal pain]]
*[[Cough]]
*[[Diarrhea]]
*[[Fever]]
*[[Fatigue]]
|
|
* Extraintestinal migration is very rare<ref name="pmid21879805">{{cite journal| author=Serpytis M, Seinin D| title=Fatal case of ectopic enterobiasis: Enterobius vermicularis in the kidneys. | journal=Scand J Urol Nephrol | year= 2012 | volume= 46 | issue= 1 | pages= 70-2 | pmid=21879805 | doi=10.3109/00365599.2011.609834 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21879805  }} </ref>
*[[Stool examination]] for the eggs
|Free in the lumen of [[cecum]], [[appendix]], adjacent [[colon]]
*[[Ultrasound]] of [[liver]]
|
|
* [[Albendazole]]
* [[Praziquantel]]
* [[Mebendazole]]
 
* [[Pyrantel pamoate]]
* [[Ivermectin]]
* [[Levamisole]]
* [[Piperazine]]
|}
|}


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{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Emergency medicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Gastroenterology]]

Latest revision as of 21:24, 29 July 2020

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

Overview

Diphyllobothriasis must be differentiated from tapeworm infections like taeniasis, hymenolepiasis, and schistosomiasis.

Differentiating diphyllobothriasis from other diseases

Diphyllobothriasis must be differentiated from tapeworm infections like taeniasis, hymenolepiasis, and schistosomiasis.[1]

Infections Common causative threadworms Suggestive findings Diagnostic approach Treatment
Diphyllobothriasis
Taeniasis
Hymenolepiasis
Schistosomiasis

References

  1. ↑ Baron, Samuel (1996). Medical microbiology. Galveston, Tex: University of Texas Medical Branch at Galveston. ISBN 0-9631172-1-1.

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