Helminths

  • usually developing world with poor sanitation
  • In US, usually from traveling to other areas
  • Ascaris lumbricoides (roundworm), Trichuris trichiura (whipworm), and Ancylostoma duodenale (hookworm)
  • Sx:
    • early: transient pulmonary: dry cough, sob
    • long term: gi, N/V, diarrhea
    • peipheral eosinophilia
    • positive FOBT
  • Rx: albendazole, oral; mebendazole better for whipworm