OVERVIEW
Overview of Fecal Circular Nematode Disease
Fecal roundworm disease of the lungs refers to the infection of the skin or mucous membranes with the filamentous larvae of the fecal roundworm, which enters the blood circulation through small blood vessels and lymphatic vessels to parasitize the lungs and bronchial tubes, causing damage to the lungs, and may also invade the intestinal tract, the heart, the liver, the brain, the kidneys and so on, causing damage to multiple organs.
Whether medical insurance
Yes, it is
Department
Respiratory Medicine, Infection
Clinical symptoms
Rash, irritating cough, coughing up sputum, hemoptysis, shortness of breath, etc.
Hazards
May be accompanied by symptoms such as multi-organ involvement and systemic toxicity.
Complications
Pulmonary small vein embolism, mesenteric small vein embolism, respiratory failure, etc.
Examination
Blood routine, sputum smear examination, X-ray, endoscopy, etc.
Diagnosis
Diagnosis is made on the basis of medical history, rash, irritating cough, sputum, hemoptysis, shortness of breath and other manifestations, combined with blood routine, sputum smear examination, X-ray.
Treatment principle
Deworming treatment, supportive treatment, symptomatic treatment.
Curability
Active treatment can relieve symptoms and improve prognosis.
Dietary advice
Normal diet.
Etiology
Epidemiology
Common in tropical, subtropical and temperate regions.
Etiology
Fecal roundworm infection.
Transmission
Transmitted by direct contact.
Symptoms and Diagnosis
Typical symptoms
1. Rash may be manifested as small localized skin blemishes, papules, edema, migratory linear or banded urticaria, often accompanied by tingling or itching sensation.2. Respiratory symptoms are mild in mild cases, but in severe cases, there are often irritating cough, coughing up sputum, hemoptysis, shortness of breath, dyspnea, wheezing, etc. 3. Gastrointestinal symptoms are burning abdominal pain, diarrhea or constipation, nausea, vomiting, abdominal distension, etc.4. Systemic symptoms are fever, dizziness, weakness, agitation, etc. 5, Fatigue, irritability, etc.
Diagnostic basis
1. history of exposure to contaminated soil.2. respiratory and gastrointestinal symptoms such as rash, irritating cough, sputum, hemoptysis, shortness of breath, abdominal pain, nausea, vomiting, etc..3. routine blood test shows elevated percentage of eosinophilic granulocytes.4. Chest X-ray shows spotty, streak-like confined or diffuse infiltration shadows.5. fresh sputum smear shows rod-shaped larvae, filamentous larvae, larvae, adult worms, or worm eggs, which can be used to make a definite diagnosis.6. gastrointestinal tract can be diagnosed. 6. Gastrointestinal endoscopy may reveal hemorrhagic spots, edema, thickening and worms in the intestinal mucosa.
Treatment
Treatment guidelines
Deworming treatment, supportive treatment, symptomatic treatment.
Drug treatment
1. Deworming treatment chooses anthelmintic drugs such as albendazole and thiabendazole. For patients with severe infection, local administration of drugs via duodenal catheter or bronchoscopy can be considered.2. Symptomatic treatment is based on appropriate application of antibiotics, antitussive, analgesic and antidiarrheal drugs according to the condition.
Prognosis
The prognosis depends on the number of larvae invaded and the immune status of the host. Most asymptomatic or mildly symptomatic people have a good prognosis; those with severe symptoms and multiple organ damage, and those with eosinophils that do not increase or instead decrease in severe cases have a poor prognosis.
Nursing care
Daily care
1. Environment and rest keep the environment quiet and tidy, well ventilated, avoid strong light stimulation and convective wind blowing directly; live a regular life and ensure enough sleep.2. Skin care keep the local skin clean and dry, keep the clothes and blankets clean, dry and soft, and avoid scratching the skin.3. Life care pay attention to the hygiene of life, and the eating utensils and articles used by the patients should be sterilized.4. Psychological care channel, understand, support and care, Encourage the patient, enhance the patient’s ability and confidence in self-care.
Dietary care
Nutritious diet.