Trichuris trichiura
Revision as of 19:45, 7 September 2014 by Rossdonaldson1 (talk | contribs) (Created page with "==Background== ==Clinical Features== *Morbidity is related to number of worms harbored in intestines *Light infections often asymptomatic *Heavier infections with variety of...")
Background
Clinical Features
- Morbidity is related to number of worms harbored in intestines
- Light infections often asymptomatic
- Heavier infections with variety of manifestations including GI symptoms (abdominal pain, diarrhea, blood in stool, rectal prolapse), malaise, weakness, impaired cognitive / physical development, malnutrition[1]</ref>
- Iron-deficiency anemia
- Adult worms attach to intestinal wall to feed, causing ongoing luminal blood loss
Differential Diagnosis
Workup
Management
- Albendazole 400 mg x 1 dose
- Historically treated with albendazole or mebendazole, but monotherapy has low efficacy especially in heavy infections; higher cure rate achieved with oxantel pamoate-albendazole combination compared to any monotherapy in recent RCT [2]
- Iron supplements in anemia