Strongyloidiasis differential diagnosis: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Strongyloidiasis can mimic other worm | [[Strongyloidiasis]] can mimic other [[worm]] , and also [[Gastrointestinal bleeding|gastrointestinal]] [[Pathology|pathologies]] like [[peptic ulcer disease]], [[intussusception]] in children, and [[bile duct]] stone.<ref name="pmid25121962">{{cite journal |vauthors=Puthiyakunnon S, Boddu S, Li Y, Zhou X, Wang C, Li J, Chen X |title=Strongyloidiasis--an insight into its global prevalence and management |journal=PLoS Negl Trop Dis |volume=8 |issue=8 |pages=e3018 |year=2014 |pmid=25121962 |pmc=4133206 |doi=10.1371/journal.pntd.0003018 |url=}}</ref> | ||
==Differentiating Strongyloidiasis from the diseases== | ==Differentiating Strongyloidiasis from the diseases== | ||
Strongyloidiasis can mimic other worm infections, and also gastrointestinal pathologies like peptic ulcer disease, intussusception in children, bile | [[Strongyloidiasis]] can mimic other [[worm]] [[infections]], and also [[gastrointestinal]] [[Pathology|pathologies]] like [[peptic ulcer disease]], [[intussusception]] in children, [[Bile duct|bile duc]]<nowiki/>t stone, etc. | ||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="7" |Differentiating Enterobiasis 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> | ! colspan="7" |Differentiating Enterobiasis 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> | ||
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! style="background:#4479BA; color: #FFFFFF;" |Treatment | ! style="background:#4479BA; color: #FFFFFF;" |Treatment | ||
|- | |- | ||
| | | style="background:#DCDCDC;" align="center" |[[Ascaris lumbricoides]] | ||
|Ingestion of infective ova | |Ingestion of infective [[ova]] | ||
|No | |No | ||
|1-2 years | |1-2 years | ||
| | | | ||
* [[Löffler's syndrome]] (usually about 9-12 days after exposure to ova) | * [[Löffler's syndrome]] (usually about 9-12 days after exposure to [[ova]]) | ||
* [[Cough]] | * [[Cough]] | ||
* Substernal discomfort | * [[Substernal pain|Substernal]] discomfort | ||
* [[Crackles]] | * [[Crackles]] | ||
* [[Wheezing]] | * [[Wheezing]] | ||
* Transient opacities | * Transient [[Opacity|opacities]] | ||
|Free in the lumen of the small bowel | |Free air in the [[lumen]] of the [[small bowel]] | ||
(primarily jejunum) | (primarily [[jejunum]]) | ||
| | | | ||
* [[Albendazole]] | * [[Albendazole]] | ||
| Line 44: | Line 44: | ||
* [[Piperazine]] | * [[Piperazine]] | ||
|- | |- | ||
| | | style="background:#DCDCDC;" align="center" |[[Trichuris trichiura]] | ||
(whipworm) | ([[whipworm]]) | ||
|Ingestion of infective [[ova]] | |Ingestion of infective [[ova]] | ||
|No | |No | ||
|1-3 years | |1-3 years | ||
| | | | ||
* No pulmonary migration, therefore, no pulmonary manifestation | * No [[pulmonary]] migration, therefore, no pulmonary manifestation | ||
|Anchored in the superficial mucosa of cecum and colon | |Anchored in the superficial [[mucosa]] of [[cecum]] and [[colon]] | ||
| | | | ||
* [[Albendazole]] | * [[Albendazole]] | ||
| Line 57: | Line 57: | ||
* [[Mebendazole]] | * [[Mebendazole]] | ||
|- | |- | ||
| | | style="background:#DCDCDC;" align="center" |[[Hookworm]] | ||
([[Necator americanus]] and [[Ancylostoma duodenale]]) | ([[Necator americanus]] and [[Ancylostoma duodenale]]) | ||
|Skin penetration by filariform larvae | |[[Skin]] penetration by filariform larvae | ||
|No | |No | ||
| | | | ||
* 3-5 years (Necator) | * 3-5 years ([[Necator americanus|Necator]]) | ||
* 1 year (Ancylostoma) | * 1 year ([[Ancylostoma]]) | ||
| | | | ||
* [[Löffler's syndrome]] | * [[Löffler's syndrome]] | ||
* Transient opacities | * Transient opacities | ||
|Attached to the mucosa of mid-upper portion of the [[small bowel]] | |Attached to the [[mucosa]] of mid-upper portion of the [[small bowel]] | ||
| | | | ||
* [[Albendazole]] | * [[Albendazole]] | ||
| Line 77: | Line 77: | ||
* [[Pyrantel pamoate]] | * [[Pyrantel pamoate]] | ||
|- | |- | ||
| | | style="background:#DCDCDC;" align="center" |[[Strongyloides stercoralis]] | ||
|Filariform larvae penetrate skin or bowel mucosa | |Filariform larvae penetrate [[skin]] or [[bowel]] [[mucosa]] | ||
|Yes | |Yes | ||
| | | | ||
| Line 92: | Line 92: | ||
* [[Thiabendazole]] | * [[Thiabendazole]] | ||
|- | |- | ||
| | | style="background:#DCDCDC;" align="center" |[[Enterobius vermicularis]] | ||
([[pinworm]]) | ([[pinworm]]) | ||
|Ingestion of infective [[ova]] | |Ingestion of infective [[ova]] | ||
| Line 100: | Line 100: | ||
| | | | ||
* 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> | * 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]] | |Free air in the lumen of [[cecum]], [[appendix]], adjacent [[colon]] | ||
| | | | ||
* [[Albendazole]] | * [[Albendazole]] | ||
Revision as of 16:01, 30 June 2017
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Strongyloidiasis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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]
Overview
Strongyloidiasis can mimic other worm , and also gastrointestinal pathologies like peptic ulcer disease, intussusception in children, and bile duct stone.[1]
Differentiating Strongyloidiasis from the diseases
Strongyloidiasis can mimic other worm infections, and also gastrointestinal pathologies like peptic ulcer disease, intussusception in children, bile duct stone, etc.
| Differentiating Enterobiasis from other Nematode infections[2][3] | ||||||
|---|---|---|---|---|---|---|
| Nematode | Transmission | Direct Person-Person Transmission | Duration of Infection | Pulmonary Manifestation | Location of Adult worm(s) | Treatment |
| Ascaris lumbricoides | Ingestion of infective ova | No | 1-2 years |
|
Free air in the lumen of the small bowel
(primarily jejunum) |
|
| Trichuris trichiura
(whipworm) |
Ingestion of infective ova | No | 1-3 years |
|
Anchored in the superficial mucosa of cecum and colon | |
| Hookworm | Skin penetration by filariform larvae | No |
|
|
Attached to the mucosa of mid-upper portion of the small bowel | |
| Strongyloides stercoralis | Filariform larvae penetrate skin or bowel mucosa | Yes |
|
|
Embedded in the mucosa of the duodenum, jejunum | |
| Enterobius vermicularis
(pinworm) |
Ingestion of infective ova | Yes |
|
|
Free air in the lumen of cecum, appendix, adjacent colon | |
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.