Strongyloidiasis differential diagnosis: Difference between revisions
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* Waterbrash (rush of saliva after an episode of regurgitation to dilute the acid in esophagus) | * 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 | |Intussusception | ||
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* Abdominal pain that is colicky and intermittent | |||
* | |||
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* Currant jelly stools | |||
* Most cases occur in children ages 6 months - 2 years | |||
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* Ultrasound findings include the target and pseudokidney signs | |||
|- | |- | ||
|Bile duct stone | |Bile duct stone | ||
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* Acute abdominal pain | |||
* Nausea and vomiting | |||
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* Pain is usually located in the upper right abdominal area radiates to shoulders. | |||
* Jaundice. | |||
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*Bilirubin | |||
*Abnormal liver function tests | |||
*Elevation of pancreatic enzymes | |||
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Revision as of 17:40, 5 July 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 | |
Other conditions that need to be differentiated from strongyloidies in fection include
| Disease | Common findings | Differentiating features | Laboratory findings |
|---|---|---|---|
| Peptic ulcer disease |
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| Intussusception |
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| Bile duct stone |
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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.