Surgical Manifestations of Parasitic Disease

Abstract

Parasitic infestations are a non-mutual symbiotic relationship between two species, where one (parasite) benefits at the expense of the other (host). Most of these infections are endemic in origin. However, it is quite possible to get infected when traveling to areas endemic with certain parasitic diseases. Most parasitic infestations present with mild symptoms that may be pharmaceutically treated. However, some parasitic infestations may present with surgical manifestations. Asymptomatic lesions which have existed for some time may suddenly take a fulminant course endangering life. It is vital for the pediatric surgeon to know about the various modes of presentation and complications to diagnose these infections and treat them appropriately. The most commonly seen lesions in developing countries are intestinal ascariasis and amoebic liver abscess. Echinococcosis is also important due to the association with surgical complications including anaphylactic reactions. In this chapter, the commonly found parasitic infections with surgical manifestations are discussed. The epidemiology, presentation, diagnosis, management, and preventive aspects to avoid recurrent infestation and the spread to the community are discussed.