Strongyloidiasis differential diagnosis
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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] Furqan M M. M.B.B.S[3]
Overview
Strongyloidiasis must be differentiated from other nematode infections and gastrointestinal pathologies such as peptic ulcer disease, intussusception, and bile duct stone.[1]
Differentiating Strongyloidiasis from other diseases
The table below summarizes the findings that differentiate Strongyloidiasis from other nematode infections:
| Differentiating Strongyloidiasis from other Nematode infections[2][3][4] | ||||||
|---|---|---|---|---|---|---|
| Nematode | Transmission | Direct Person-Person Transmission | Duration of Infection | Pulmonary Manifestation | Location of Adult worm(s) | Treatment |
| Strongyloides stercoralis | Filariform larvae penetrate skin or bowel mucosa | Yes |
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Embedded in the mucosa of the duodenum, jejunum | |
| 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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| Trichuris trichiura
(whipworm) |
Ingestion of infective ova | No | 1-3 years |
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Anchored in the superficial mucosa of cecum and colon | |
| Hookworm | Skin penetration by filariform larvae | No |
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Attached to the mucosa of mid-upper portion of the small bowel | |
| Enterobius vermicularis
(pinworm) |
Ingestion of infective ova | Yes |
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Free air in the lumen of cecum, appendix, adjacent colon | |
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 |
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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.