Gigliotti Simona, Mancuso Elettra, Pantanella Marta, Manno Michele, Cosco Cristina, Corea Alessandro, Raso Nora N, Campolo Morena, Divenuto Francesca, Giancotti Aida, Marascio Nadia, Doldo Patrizia, Quirino Angela, Matera Giovanni
Department of Health Sciences, Unit of Clinical Microbiology, "Magna Græcia" University of Catanzaro "Mater Domini" Teaching Hospital, Catanzaro, Italy.
Department of Health Sciences, Unit of Clinical Microbiology, "Magna Græcia" University of Catanzaro "Mater Domini" Teaching Hospital, Catanzaro, Italy.
Parasitol Int. 2025 Jun;106:103032. doi: 10.1016/j.parint.2025.103032. Epub 2025 Jan 10.
Ascaris lumbricoides is a nematode that parasitizes the human gastrointestinal tract, and it is the cause of the most common helminthic infections worldwide. It predominates in areas of poor sanitation. Early diagnosis of this intestinal infection is pivotal to avoid its severe and lethal complications such as gut obstruction, volvulus, and perforation.
A 61-year-old Caucasian female was admitted to the Operational Unit of Gastrointestinal Endoscopic Surgery with abdominal pain, in combination with nausea and vomiting for 2 months. The woman underwent a colonoscopy and surprisingly A. lumbricoides was highlighted. Diagnosis of A. lumbricoides infections is based on the microscopic detection of eggs in stool, thus, patient fecal samples collected were examined by microscopy-based methods, but no eggs were found. Previously, the patient was treated to eradicate H. pylori, using omeprazole, a common proton pump inhibitor.
Here, we supposed that previous therapy has mitigated the parasite infection severity. In our patient was identified A. lumbricoides, although she came from a medium socio-economic status family and despite, she reported to have never travelled in tropical and subtropical areas. This report highlights the importance of the awareness of ascariasis and that its preventive measures should be included in all health education programs.
蛔虫是一种寄生于人类胃肠道的线虫，是全球最常见的蠕虫感染病因。在卫生条件差的地区占主导地位。早期诊断这种肠道感染对于避免其严重和致命并发症（如肠梗阻、肠扭转和穿孔）至关重要。
一名61岁的白人女性因腹痛、伴有恶心和呕吐2个月入住胃肠内镜手术科室。该女性接受了结肠镜检查，令人惊讶的是发现了蛔虫。蛔虫感染的诊断基于粪便中虫卵的显微镜检测，因此，对采集的患者粪便样本采用基于显微镜的方法进行检查，但未发现虫卵。此前，该患者使用常见的质子泵抑制剂奥美拉唑进行了根除幽门螺杆菌的治疗。
在此，我们推测先前的治疗减轻了寄生虫感染的严重程度。在我们的患者中发现了蛔虫，尽管她来自中等社会经济地位的家庭，且她报告从未去过热带和亚热带地区。本报告强调了认识蛔虫病的重要性，并且其预防措施应纳入所有健康教育项目中。
