Diphyllobothriasis differential diagnosis: Difference between revisions

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{{Diphyllobothriasis}}
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{{CMG}} {{AE}} {{MMF}}
==Overview==
Enterobiasis must be differentiated from threadworm infections like taeniasis, hymenolepiasis, and schistosomiasis.
 
==Differentiating diphyllobothriasis from other diseases==
|-
! style="background:#4479BA; color: #FFFFFF;" |Nematode
! style="background:#4479BA; color: #FFFFFF;" |Transmission
! style="background:#4479BA; color: #FFFFFF;" |Direct Person-Person Transmission
! style="background:#4479BA; color: #FFFFFF;" |Duration of Infection
! style="background:#4479BA; color: #FFFFFF;" |Pulmonary Manifestation
! style="background:#4479BA; color: #FFFFFF;" |Location of Adult worm(s)
! style="background:#4479BA; color: #FFFFFF;" |Treatment
|-
| align="center" style="background:#DCDCDC;" |[[Ascaris lumbricoides]]
|Ingestion of infective ova
|No
|1-2 years
|
* [[Löffler's syndrome]] (usually about 9-12 days after exposure to ova)
* [[Cough]]
* Substernal discomfort
* [[Crackles]]
* [[Wheezing]]
* Transient opacities
|Free in the lumen of the small bowel
(primarily jejunum)
|
* [[Albendazole]]
 
* [[Mebendazole]]
 
* [[Pyrantel pamoate]]
 
* [[Ivermectin]]
 
* [[Levamisole]]
 
* [[Piperazine]]
|-
| 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]]
 
* [[Mebendazole]]
|-
| align="center" style="background:#DCDCDC;" |[[Hookworm]]  
([[Necator americanus]] and [[Ancylostoma duodenale]])
|Skin penetration by filariform larvae
|No
|
* 3-5 years (Necator)
* 1 year (Ancylostoma)
|
* [[Löffler's syndrome]]
* Transient opacities
|Attached to the mucosa of mid-upper portion of the [[small bowel]]
|
* [[Albendazole]]
 
* [[Mebendazole]]
 
* [[Levamisole]]
 
* [[Pyrantel pamoate]]
|-
| align="center" style="background:#DCDCDC;" |[[Strongyloides stercoralis]]
|Filariform larvae penetrate skin or bowel mucosa
|Yes
|
* Lifetime of the host
|
* [[Löffler's syndrome]]
* Chronic [[cough]]
* [[Pneumonia]] or [[sepsis]] in hyperinfection
|Embedded in the mucosa of the [[duodenum]], [[jejunum]]
|
* [[Ivermectin]]
* [[Albendazole]]
* [[Thiabendazole]]
|-
| align="center" style="background:#DCDCDC;" |[[Enterobius vermicularis]]
([[pinworm]])
|Ingestion of infective [[ova]]
|Yes
|
* 1-month
|
* 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>
|Free in the lumen of [[cecum]], [[appendix]], adjacent [[colon]]
|
* [[Albendazole]]
* [[Mebendazole]]
* [[Pyrantel pamoate]]
* [[Ivermectin]]
* [[Levamisole]]
* [[Piperazine]]
|}
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Disease]]
[[Category: Foodborne illnesses]]
[[Category:Infectious disease]]
[[Category:Needs content]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 17:25, 28 June 2017

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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

Enterobiasis must be differentiated from threadworm infections like taeniasis, hymenolepiasis, and schistosomiasis.

Differentiating diphyllobothriasis from other diseases

|- ! style="background:#4479BA; color: #FFFFFF;" |Nematode ! style="background:#4479BA; color: #FFFFFF;" |Transmission ! style="background:#4479BA; color: #FFFFFF;" |Direct Person-Person Transmission ! style="background:#4479BA; color: #FFFFFF;" |Duration of Infection ! style="background:#4479BA; color: #FFFFFF;" |Pulmonary Manifestation ! style="background:#4479BA; color: #FFFFFF;" |Location of Adult worm(s) ! style="background:#4479BA; color: #FFFFFF;" |Treatment |- | align="center" style="background:#DCDCDC;" |Ascaris lumbricoides |Ingestion of infective ova |No |1-2 years |

|Free in the lumen of the small bowel (primarily jejunum) |

|- | 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 |

|- | align="center" style="background:#DCDCDC;" |Hookworm (Necator americanus and Ancylostoma duodenale) |Skin penetration by filariform larvae |No |

  • 3-5 years (Necator)
  • 1 year (Ancylostoma)

|

|Attached to the mucosa of mid-upper portion of the small bowel |

|- | align="center" style="background:#DCDCDC;" |Strongyloides stercoralis |Filariform larvae penetrate skin or bowel mucosa |Yes |

  • Lifetime of the host

|

|Embedded in the mucosa of the duodenum, jejunum |

|- | align="center" style="background:#DCDCDC;" |Enterobius vermicularis (pinworm) |Ingestion of infective ova |Yes |

  • 1-month

|

  • Extraintestinal migration is very rare[1]

|Free in the lumen of cecum, appendix, adjacent colon |

|}

References

  1. ↑ 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

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