Strongyloidiasis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The physical examination findings in strongyloidiasis vary and it is usually dependent on the worm burden and the involved organ.[1]
Physical examination
General appearance
Most patients generally appear well with minimal or no symptoms on physical examination.
Vital signs
A low-grade fever may occur in some patients with ascariasis.A high grade fever may be seen when there are complications such as acute cholangitis, hepatic abscess, etc.
HEENT
An icteric sclera due to obstructive jaundice from biliary ascariasis may be seen.
Chest
Eosinophilic pneumonia (löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings
- Dyspnea
- Dry rales
- Wheezing resulting from bronchospasms
Abdomen
- Abdominal tenderness- Abdominal tenderness can be secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc
- Abdominal distension
- Signs of acute bowel obstruction
Skin
The patients with ascariasis can present with urticaria.
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.