Strongyloidiasis differential diagnosis: Difference between revisions
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==Differentiating Strongyloidiasis from other diseases== | ==Differentiating Strongyloidiasis from other diseases== | ||
The table below summarizes the findings that differentiate [[ | The table below summarizes the findings that differentiate [[strongyloidiasis]] from other [[Nematode|nematod]]<nowiki/>e infections: | ||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="8" |Differentiating strongyloidiasis from other Nematode infections<ref name="Principles and Practice">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.</ref><ref name="Murray and Nadel's Textbook of Respiratory Medicine">{{cite book |last1=Kim |first1=Kami |last2=Weiss |first2=Louis |last3=Tanowitz |first3=Herbert |title=Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition |publisher=Elsevier |date=2016 |pages=682-698 |chapter=Chapter 39:Parasitic Infections |isbn=978-1-4557-3383-5}}</ref><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> | ! colspan="8" |Differentiating strongyloidiasis from other Nematode infections<ref name="Principles and Practice">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.</ref><ref name="Murray and Nadel's Textbook of Respiratory Medicine">{{cite book |last1=Kim |first1=Kami |last2=Weiss |first2=Louis |last3=Tanowitz |first3=Herbert |title=Murray and Nadel's Textbook of Respiratory Medicine Sixth Edition |publisher=Elsevier |date=2016 |pages=682-698 |chapter=Chapter 39:Parasitic Infections |isbn=978-1-4557-3383-5}}</ref><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> | ||
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|No | |No | ||
| | | | ||
* 3-5 years ([[Necator americanus|Necator]]) | * 3-5 years (''[[Necator americanus|Necator]]'') | ||
* 1 year ([[Ancylostoma]]) | * 1 year (''[[Ancylostoma]]'') | ||
| | | | ||
* [[Löffler's syndrome]] | * [[Löffler's syndrome]] | ||
| Line 115: | Line 115: | ||
|} | |} | ||
*Strongyloidiasis, when it involves the [[gastrointestinal tract]], presents with [[abdominal pain]] and must be differentiated from other [[Gastrointestinal tract|GI]] disorders like [[Peptic ulcer|peptic ulcer disease]], [[intussusception]], and [[Gall stones|bile duct stone]]. | *Strongyloidiasis, when it involves the [[gastrointestinal tract]], presents with [[abdominal pain]] and must be differentiated from other [[Gastrointestinal tract|GI]] disorders like [[Peptic ulcer|peptic ulcer disease]], [[intussusception]], and [[Gall stones|bile duct stone]]. | ||
*The table below summarizes the findings that differentiate | *The table below summarizes the findings that differentiate strongyloidiasis from [[peptic ulcer disease]], [[intussusception]], and [[Gall stones|bile duct stone]]: | ||
{| class="wikitable" | {| class="wikitable" | ||
!Disease | !Disease | ||
| Line 124: | Line 124: | ||
|[[Peptic ulcer disease]] | |[[Peptic ulcer disease]] | ||
| | | | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
* [[Bloating]] and abdominal fullness | * [[Bloating]] and abdominal fullness | ||
* [[Nausea]], and lots of [[vomiting]] | * [[Nausea]], and lots of [[vomiting]] | ||
* [[Loss of appetite]] and [[weight loss]] | * [[Loss of appetite]] and [[weight loss]] | ||
* [[Hematemesis]] | * [[Hematemesis]] | ||
| | | | ||
| Line 134: | Line 134: | ||
| | | | ||
* Rapid [[Urease|urease testing]] positive | * Rapid [[Urease|urease testing]] positive | ||
* [[Helicobacter pylori|H. pylori]] on histology | * ''[[Helicobacter pylori|H. pylori]]'' on histology | ||
* Negative stool exam and serology | * Negative stool exam and serology | ||
|- | |- | ||
| Line 146: | Line 146: | ||
* Ultrasound findings include the target and pseudokidney signs | * Ultrasound findings include the target and pseudokidney signs | ||
|- | |- | ||
|Bile duct stone | |[[Gall stone|Bile duct stone]] | ||
| | | | ||
* [[Abdominal pain|Acute abdominal pain]] | * [[Abdominal pain|Acute abdominal pain]] | ||
Revision as of 14:28, 3 August 2017
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Strongyloidiasis Microchapters |
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Strongyloidiasis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Strongyloidiasis differential diagnosis |
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Risk calculators and risk factors for Strongyloidiasis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2] Furqan M M. M.B.B.S[3]
Overview
Strongyloidiasis can mimic other worm infections like Ascaris lumbricoides, Trichuris trichiura, hookworm infections (Necator americanus and Ancylostoma duodenale), Enterobius vermicularis (pinworm) and gastrointestinal pathologies such as peptic ulcer disease, intussusception in children, and bile duct stone.[1][2][3]
Differentiating Strongyloidiasis from other diseases
The table below summarizes the findings that differentiate strongyloidiasis from other nematode infections:
| Differentiating strongyloidiasis from other Nematode infections[1][2][4] | |||||||
|---|---|---|---|---|---|---|---|
| Infection | Nematode | Transmission | Direct Person-Person Transmission | Duration of Infection | Pulmonary Manifestation | Location of Adult worm(s) | Treatment |
| Strongyloidiasis | Strongyloides stercoralis | Filariform larvae penetrate skin or bowel mucosa | Yes |
|
|
Embedded in the mucosa of the duodenum and jejunum | |
| Trichuriasis | Trichuris trichiura
(whipworm) |
Ingestion of infective ova | No | 1-3 years |
|
Anchored in the superficial mucosa of cecum and colon | |
| Ascariasis | Ascaris lumbricoides | Ingestion of infective ova | No | 1-2 years |
|
Free air in the lumen of the small bowel
(primarily jejunum) |
|
| Hookworm infection | Necator americanus and Ancylostoma duodenale | Skin penetration by filariform larvae | No |
|
|
Attached to the mucosa of mid-upper portion of the small bowel | |
| Enterobiasis | Enterobius vermicularis
(pinworm) |
Ingestion of infective ova | Yes |
|
|
Free air in the lumen of cecum, appendix, adjacent colon | |
- Strongyloidiasis, when it involves the gastrointestinal tract, presents with abdominal pain and must be differentiated from other GI disorders like peptic ulcer disease, intussusception, and bile duct stone.
- The table below summarizes the findings that differentiate strongyloidiasis from peptic ulcer disease, intussusception, and bile duct stone:
| Disease | Common findings | Differentiating features | Laboratory findings |
|---|---|---|---|
| Peptic ulcer disease |
|
|
|
| Intussusception |
|
|
|
| Bile duct stone |
|
|
References
- ↑ 1.0 1.1 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.
- ↑ 2.0 2.1 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.
- ↑ Puthiyakunnon S, Boddu S, Li Y, Zhou X, Wang C, Li J, Chen X (2014). "Strongyloidiasis--an insight into its global prevalence and management". PLoS Negl Trop Dis. 8 (8): e3018. doi:10.1371/journal.pntd.0003018. PMC 4133206. PMID 25121962.
- ↑ 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.