Whipworm infection differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2] Furqan M M. M.B.B.S[3]
Overview
Trichuriasis must be differentiated from other nematode infections such as ascariasis, hook worm infection and Strongyloides stercoralis that can present with diarrhea and abdominal pain.
Differential Diagnosis
Trichuriasis must be differentiated from other nematode infections such as ascariasis, hook worm infection and Strongyloides stercoralis that can present with diarrhea and abdominal pain.
| Differentiating Trichuriasis from other Nematode infections[1][2][3] | |||||||
|---|---|---|---|---|---|---|---|
| Infection | Nematode | Transmission | Direct Person-Person Transmission | Duration of Infection | Pulmonary Manifestation | Location of Adult worm(s) | Treatment |
| Trichuriasis | Trichuris trichiura
(whipworm) |
Ingestion of infective ova | No | 1-3 years |
|
Anchored in the superficial mucosa of cecum and colon | |
| Strongyloidiasis | Strongyloides stercoralis | Filariform larvae penetrate skin or bowel mucosa | Yes |
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Embedded in the mucosa of the duodenum, jejunum | |
| Ascariasis | Ascaris lumbricoides | Ingestion of infective ova | No | 1-2 years |
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Free air in the lumen of the small bowel
(primarily jejunum) |
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| Hookworm infection | Necator americanus and Ancylostoma duodenale | Skin penetration by filariform larvae | No |
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Attached to the mucosa of mid-upper portion of the small bowel | |
| Enterobiasis | Enterobius vermicularis
(pinworm) |
Ingestion of infective ova | Yes |
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Free air in the lumen of cecum, appendix, adjacent colon | |
References
- ↑ 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.