Strongyloidiasis differential diagnosis: Difference between revisions
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* Epigastric with severity relating to mealtimes | * Epigastric with severity relating to mealtimes | ||
* 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]]) | ||
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* Rapid [[Urease|urease testing]] positive | * Rapid [[Urease|urease testing]] positive | ||
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* Most cases occur in children ages 6 months - 2 years | * Most cases occur in children ages 6 months - 2 years | ||
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* Ultrasound findings include the target and pseudokidney signs | * [[Ultrasound]] findings include the target and pseudokidney signs | ||
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|[[Gall stones|Bile duct stone]] | |[[Gall stones|Bile duct stone]] | ||
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* [[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
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* Pain is usually located in the upper right abdominal area radiates to shoulders | * Pain is usually located in the upper right abdominal area radiates to shoulders | ||
* [[Jaundice]] | * [[Jaundice]] | ||
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*[[Bilirubin]] | *[[Bilirubin]] | ||
*Abnormal liver function tests | *Abnormal [[liver function tests]] | ||
*Elevation of pancreatic enzymes | *Elevation of pancreatic enzymes | ||
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Revision as of 20:29, 7 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.