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Case Reports in Medicine
Volume 2013 (2013), Article ID 579464, 4 pages
http://dx.doi.org/10.1155/2013/579464
Case Report

Ascaris lumbricoides: To Expect the Unexpected during a Routine Colonoscopy

1Division of Gastroenterology, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA
2Department of Internal Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA

Received 31 January 2013; Accepted 30 May 2013

Academic Editor: J. B. Sharma

Copyright © 2013 Kalyan Kanneganti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ascaris lumbricoides is a common nematode infecting humans worldwide with increased prevalence in tropical and subtropical areas of less developed countries. Recently, it has been estimated that over one billion individuals are infected with ascariasis worldwide with 7% in USA. Although most of these cases are due to increasing immigration and travel outside America it is worth recognizing that prevalence of ascariasis is high in southeastern parts of USA due to their temperate climate. Infections of A. lumbricoides are largely asymptomatic, and hence a large population of people carrying this worm remains undetected for years until they develop some symptoms. Due to a large group of asymptomatic individuals with intestinal ascariasis, these worms are occasionally and unexpectedly identified during routine endoscopic procedures. Here, we present a case of an intestinal ascariasis found during routine colonoscopy in an African-American man from the Bronx with perianal itching. He denied any history of travel outside USA but reported frequent visits to South Carolina. This case illustrates the fact that ascariasis should be suspected even if immigration or travel outside USA is not involved. It should be suspected even in cases of travel within USA to the south east where endemic cases are reported.