J Pediatr Infect Dis 2017; 12(01): 020-029
DOI: 10.1055/s-0037-1599117
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Imaging and Management of Childhood Ascariasis

Ebrahim Banderker
1  Department of Paediatric Radiology, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
,
Marion Arnold
2  Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
,
Sharon Cox
2  Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
,
Luvo Gaxa
1  Department of Paediatric Radiology, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
› Author Affiliations
Further Information

Publication History

23 September 2016

11 October 2016

Publication Date:
02 March 2017 (eFirst)

Abstract

The human-specific roundworm Ascaris lumbricoides continues to cause significant morbidity and mortality across the world, especially within Asia, South America, and Africa, despite the success of mass eradication programs. Most childhood worm infestations are relatively asymptomatic. Children can, however, be burdened by ascariasis and its negative nutritional impact. Heavy worm loads are complicated by intestinal obstruction, bowel necrosis, and bowel perforation. Less frequently, biliary obstruction and its complications may also occur. Radiological detection of complications allow for early institution of the largely successful nonoperative management followed by curative antihelminthics. Imaging is essential in the monitoring and detection of ominous signs that direct emergency surgical intervention and follow-up.