Diphyllobothriasis differential diagnosis
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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 |
- 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) |
|- | 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)
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- Löffler's syndrome
- Transient opacities
|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
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- Löffler's syndrome
- Chronic cough
- Pneumonia or sepsis in hyperinfection
|Embedded in the mucosa of the duodenum, jejunum |
|- | align="center" style="background:#DCDCDC;" |Enterobius vermicularis (pinworm) |Ingestion of infective ova |Yes |
- 1-month
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- Extraintestinal migration is very rare[1]
|Free in the lumen of cecum, appendix, adjacent colon |
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References
- ↑ 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.