To avoid inflammatory response in CNS, patient must also be started on anticonvulsants and high-dose glucocorticoids. Recommended for GI or biliary obstruction secondary to ascariasis. Causes flaccid paralysis of the helminth by blocking response of worm muscle to acetylcholine. Recommend good personal hygiene. Contacts may be screened for asymptomatic carrier state.
Complications are principally due to worm migration.
Soil transmitted helminths. In Gorbach, ed. In GT Strickland, ed. Hunter's Tropical Medicine. Relapsing pneumothorax due to Ascaris lumbricoides larvae.