Ascaris lumbricoides

- Left untreated, some infections will resolve spontaneously and adult worms usually cause little pathology if they remain in the small intestine.
- However, migration to other locations such as the liver, lungs, heart, or genitourinary tract may cause severe acute problems and death.
- Re-infections can occur rapidly after treatment and so there is a need for frequent anthelmintic drug administrations to maximize the benefit of preventive chemotherapy in developing countries.
- FBC may reveal eosinophilia or anemia.
- LFTs may reveal liver damage or low protein state.
- Specific investigations such as ultrasound, X-ray, amylase level, lung function tests and exploratory surgery may be required depending on the site of infestation.
- Endoscopic retrograde cholangiopancreatography may be useful if biliary tree involvement is suspected.

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