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Health Information Center

Ascariasis

Authors:
  • Cynthia M. Johnson, MA
Publication Type:

Condition

Ascariasis

(Roundworm)

Definition

Ascariasis is an infection. It can lead to problems in the lungs or digestive organs.

Digestive Tract and Lungs.

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Causes

Ascariasis is caused by roundworm parasites. Their eggs are found in the stool of infected people and animals. The eggs can also be in soil. They enter the body when a person ingests the worm eggs. This can happen by putting dirty hands or fingers in the mouth or by eating vegetables or fruits that have not been peeled, washed, or cooked.

Roundworm eggs hatch in the stomach. The baby worms may move to the liver and lungs. They can cause a type of pneumonia. They can also grow into adult worms in the stomach and intestines.

Risk Factors

Roundworms are most common in areas with poor sanitation. People who live in Asia and the western Pacific are at higher risk. The risk is also higher in children who are 5 to 15 years of age.

Exposure to contaminated soil is the biggest risk factor for ascariasis.

Symptoms

Most people do not have ascariasis symptoms. Those who do may have:

  • A dry cough
  • Fever
  • Problems breathing, such as wheezing
  • Belly cramps
  • Vomiting
  • Diarrhea
  • Weight loss
Appendicitis.

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Diagnosis

The doctor will ask about symptoms and past health. You will also be asked about any recent travel. A physical exam will be done.

Tests may be done, such as:

  • Stool (poop) tests—to look for signs of the parasites
  • Blood tests—to look for signs of a parasitic infection

Pictures of the body may be taken. This can be done with:

Treatment

Ascariasis is treated with anti-parasitic medicine. Surgery may be needed if there are blockages in the digestive tract.

Prevention

The risk of ascariasis may be lowered by food safety and sanitation measures.

RESOURCES:

CANADIAN RESOURCES:

CANADIAN RESOURCES:

References

  • Ascariasis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/ascariasis.
  • Ascariasis. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/infectious-diseases/nematodes-roundworms/ascariasis.
  • Leung AK, Leung, AA, et al. Human ascariasis: an updated review. Recent Pat Inflamm Allergy Drug Discov. 2020;14(2):133-145.
  • Parasites—ascariasis. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/parasites/ascariasis.

Contributors

  • David L. Horn, MD, FACP
Last Updated:
2022-09-01

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.