Tuesday, February 28, 2017
Case of the Week 436
This week's case was generously donated by Dr. Sabarinathan from Madras Medical College in Chennai, India. The patient is a young man with a 2-week history of epigastric pain and vomiting. Physical examination was normal, and a complete blood count showed only a mild anemia (hemoglobin of 9.8 g/dL). An ultrasound of the abdomen was normal and so an upper gastrointestinal endoscopy was performed. This is what was seen:
Identification?
Subscribe to:
Post Comments (Atom)
10 comments:
ascaris lumbricoides?
Ascaris
They look like Ascaris.
A very impressive rendition of Ascaris lumbricoides live. This is consistent with a history of epigastric pain and mild anemia.
Florida Fan
Typical shape of an Ascaris
Could anyone explain why it isn't Anisakis? I thought that when there is nematode in stomach it must be Anisakis. But I'm green in it.
ascaris lumbricoides
Anisakis usually individual worms, but never say never in Microbiology. !
I think the size of the worms is more indicative of the giant intestinal round worm (Ascaris). From the images I have seen of Anisakis, they are on the order of centimeters; whereas, these worms were on the order of tens of centimeters. The vague abdominal pain, anemia, and upper endoscopy video of large worms with very serpiginous moment, would suggest a diagnosis of ascariasis. Treatment with a "bendazole" should do the trick otherwise if they are causing obstruction remove them while you are in there.
ascaris
Ascaris
Post a Comment