Ascariasis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]

Overview

The physical examination findings in ascariasis 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.^[2]

Vital signs

A low-grade fever may occur in some patients with ascariasis.^[2] A high grade fever may be seen when there are complications such as acute cholangitis, hepatic abscess, etc.^[3]

HEENT

An icteric sclera due to obstructive jaundice from biliary ascariasis may be seen.^[4]

Chest

Eosinophilic pneumonia (löffler’s syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:^[2]^[5]

Dyspnea
Dry rales
Wheezing resulting from bronchospasms

Abdomen^[1]

Abdominal tenderness- Abdominal tenderness can be secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc.^[3]
Abdominal distension
Signs of acute bowel obstruction

Skin

The patients with ascariasis can present with urticaria.^[1]

References

↑ ^1.0 ^1.1 ^1.2 Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). “Chapter 291:Ascariasis (Ascaris lumbricoides)”. Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1733–1734. ISBN 978-1-4557-7566-8.
↑ ^2.0 ^2.1 ^2.2 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.
↑ ^3.0 ^3.1 Das AK (2014). “Hepatic and biliary ascariasis”. J Glob Infect Dis. 6 (2): 65–72. doi:10.4103/0974-777X.132042. PMC 4049042. PMID 24926166.
↑ Keating A, Quigley JA, Genterola AF (2012). “Obstructive jaundice induced by biliary ascariasis”. BMJ Case Rep. 2012. doi:10.1136/bcr-2012-007250. PMC 4544173. PMID 23239771.
↑ 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.

Template:WikiDoc Sources

[Nelson_Textbook_of_Pediatrics-1] 1.0 ^1.1 ^1.2 Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). “Chapter 291:Ascariasis (Ascaris lumbricoides)”. Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1733–1734. ISBN 978-1-4557-7566-8.

[Principles_and_Practice-2] 2.0 ^2.1 ^2.2 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.

[pmid24926166-3] 3.0 ^3.1 Das AK (2014). “Hepatic and biliary ascariasis”. J Glob Infect Dis. 6 (2): 65–72. doi:10.4103/0974-777X.132042. PMC 4049042. PMID 24926166.

[pmid23239771-4] Keating A, Quigley JA, Genterola AF (2012). “Obstructive jaundice induced by biliary ascariasis”. BMJ Case Rep. 2012. doi:10.1136/bcr-2012-007250. PMC 4544173. PMID 23239771.

[Murray_and_Nadel's_Textbook_of_Respiratory_Medicine-5] 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.

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