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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Related Experiment Video

Updated: Jul 12, 2025

Author Spotlight: Coproparasitoscopic Examination of Dog Stools for Control and Prevention of Zoonotic Parasite Diseases
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Angiostrongyliasis: A Changing Scenario?

Fabrizio Bruschi1

  • 1Department of Translational Research, New Technologies in Medicine and Surgery, Università di Pisa, 56126 Pisa, Italy.

Pathogens (Basel, Switzerland)
|October 27, 2023
PubMed
Summary

Angiostrongyliasis is a parasitic disease caused by Angiostrongylus worms. This condition affects humans and is primarily transmitted through infected snails and slugs.

Area of Science:

  • Parasitology
  • Infectious Diseases
  • Zoonotic Diseases

Background:

  • Angiostrongyliasis is a parasitic zoonotic disease caused by the larvae of the genus Angiostrongylus.
  • The primary species implicated in human infections are Angiostrongylus cantonensis and Angiostrongylus costaricensis.
  • These nematodes typically infect rodents as definitive hosts, with mollusks serving as intermediate hosts.

Discussion:

  • Human infections occur through accidental ingestion of infected intermediate hosts (e.g., snails, slugs) or paratenic hosts (e.g., frogs, crabs).
  • Angiostrongylus cantonensis commonly causes eosinophilic meningitis, a neurological disorder.
  • Angiostrongylus costaricensis is associated with abdominal angiostrongyliasis, mimicking appendicitis.

Key Insights:

  • Diagnosis relies on clinical presentation, epidemiological data, and laboratory confirmation, including serological tests and molecular detection.

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  • Geographic distribution of Angiostrongyliasis is expanding due to climate change and globalization.
  • Prompt diagnosis and management are crucial to prevent severe neurological or gastrointestinal complications.
  • Outlook:

    • Further research is needed to understand the full spectrum of Angiostrongylus infections and their impact.
    • Development of novel diagnostic tools and effective treatments is essential.
    • Public health initiatives focusing on prevention, including food safety and public awareness, are critical to control the spread of Angiostrongyliasis.