| ID | 194 |
|---|---|
| Name | ASCARIASIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | Diagnosis: Diagnosis is confirmed by examination of stool and finding of ova or adult worm in the stool and vomitus. Blood examination may show eosinophilia. |
| Investigations | |
| Management | |
| Introduction | This is the most common intestinal helminthiasis in men. Man is infected by ingesting food contaminated with mature ova containing developed embrayos. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: Symptoms may be mild like nausea, colicky abdominal pain and irregular motions. The worm may be passed in the vomitus or in the stool. Various allergic manifestations may develop in susceptible persons causing urticarial rash. Teeth grinding, nocturnal enuresis and convulsion may occur in children. There may be cough, hemoptysis in streaks, dyspnoea. A tangled mass of worms may cause intestinal obstruction in children with severe infections. Heavy infestation may cause malnutrition. Other complications include blockage of the bile and pancreatic duct and obstruction of the appendix by adult worms. |
| Preventions | |
| Treatment | Treatment: 1. Piperazine citrate 3.5-4gm. (100mg/kg) in a single dose in the evening followed by a saline purgative e.g. s.s. mag. sulph., 1 oz, next morning. Or, 2. Levamisole in a single adult dose of 120 mg. is an effective alternative. Or, 3. Pyrantel pamoate 10mg/kg (adult & child) in a single dose. Or, 4. Mebendazole 100mg twice daily (morning & evening) for 3 days. Or, 5. Albendazole 400mg (2 tabs or 1 DS tab.) as a single dose in adult & children over 2 years. Under 2 years a single dose of 200mg is effective in common infections. A second course may be given after 3 wks. if not cured. 6. If there is intestinal obstruction and it is severe and fails to respond to nasogastric suction and sedation, surgery is required. |
| Complications | |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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