Lungworms in Humans: Symptoms, Causes, and Treatment
What Are Lungworms?
Lungworms are tiny parasites (worms) that usually live in the lungs of animals like rats, dogs, and cats. Sometimes, these worms can accidentally infect humans too.
The most common type that affects humans is called "rat lungworm" or Angiostrongylus cantonensis. Although these infections don't happen often in humans, they can cause serious health problems if not treated.
Lungworms have a life cycle that normally involves animals. The worms first live in rats, then move to snails or slugs, and then back to rats. Humans get infected accidentally when they eat something that has lungworm larvae (baby worms) on it.
How Do People Get Lungworms?
People can get lungworm infections in several ways:
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Eating unwashed produce: If you eat fruits or vegetables that haven't been washed properly and have tiny snails, slugs, or their slime on them
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Eating undercooked food: Eating raw or undercooked snails, slugs, or other carriers
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Drinking contaminated water: Water that has lungworm larvae in it
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Traveling to certain areas: Infections are more common in Southeast Asia and Pacific Islands
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Signs and symptoms
The symptoms of a lungworm infection depend on where the worms are in your body and how many there are. You might not notice symptoms right away, but they can get worse over time.
Common symptoms include:
Breathing Problems
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Wheezing
General Symptoms
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Feeling very tired
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Weakness
Brain and Nerve Problems
If the worms move to your brain or spinal cord, you might have:
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Stiff neck
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In serious cases: paralysis or seizures
When lungworms affect the brain, they can cause a condition called eosinophilic meningitis, which is inflammation of the covering of the brain.
Important: If you have headaches, a stiff neck, confusion, or seizures, get medical help right away. These could be signs of a serious problem.
How Doctors Diagnose Lungworm Infections
Finding out if someone has a lungworm infection can be tricky because the symptoms look like many other illnesses. Doctors use several methods:
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Medical history: The doctor will ask about your symptoms and if you might have been exposed to lungworms (like travel history or eating raw snails)
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Blood tests: These can show if your body is fighting a parasite infection
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Spinal tap: If doctors think the infection might be affecting your brain, they might take a sample of fluid from around your spine to check for signs of infection
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Imaging tests: X-rays or CT scans can show if there are problems in your lungs
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Stool tests: Sometimes doctors check your poop for signs of lungworm larvae
Treatment and prevention
Treatment Options
Treatment for lungworm infections depends on how serious the infection is and which parts of your body are affected. The sooner treatment starts, the better.
Medications to Kill the Parasites
Doctors usually prescribe anti-parasite drugs like albendazole or mebendazole. These medicines kill the worms and stop the infection from getting worse.
Medicines for Inflammation
If the infection has spread to your brain, doctors might give you steroids (like prednisone) to reduce swelling and help prevent damage.
Hospital Care
People with severe infections might need to stay in the hospital, especially if they have trouble breathing or serious brain symptoms.
Pain Relief
Over-the-counter pain relievers like ibuprofen or acetaminophen can help with fever and discomfort.
How to Prevent Lungworm Infections
You can take steps to protect yourself from lungworm infections:
Food Safety
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Cook food thoroughly, especially if it might contain snails or slugs
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Wash all fruits and vegetables carefully with clean water
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Peel fruits when possible
Avoid Carriers
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Don't eat raw or undercooked snails or slugs
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Keep pets safe from lungworms with regular vet check-ups
Water Safety
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Only drink water from safe sources
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Avoid swimming in water that might be contaminated
Lungworm infections in children
Children can get lungworm infections too, and sometimes their symptoms might be more serious because their bodies are smaller and still developing.
Why Children Might Be at Higher Risk
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Playing outside in dirt or water where snails and slugs live
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Not washing hands before eating
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Putting dirty hands or toys in their mouths
Signs in Children
Children with lungworm infections might have:
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Coughing that doesn't go away
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Trouble breathing
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Fever
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Being very tired
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Headaches or seizures if the infection reaches the brain
Protecting Children
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Teach children to wash hands after playing outside
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Supervise young children outdoors
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Make sure they don't put dirty things in their mouths
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Wash their toys regularly
When to see a doctor
You should see a doctor if:
Breathing Problems
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Coughing that doesn't go away
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Trouble breathing that doesn't get better with normal treatments
Brain Symptoms
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Severe headaches
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Stiff neck
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Fever
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Seizures: These could mean the infection has spread to your brain and needs urgent treatment
Stomach Problems
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Ongoing stomach pain
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Feeling sick or throwing up
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Especially if you also have other symptoms
Common Myths About Lungworms
There are some misunderstandings about lungworm infections that need to be cleared up:
Myth: "Only animals get lungworms."
Fact: While lungworms are more common in animals, humans can get infected too, especially in areas where these parasites are common.
Myth: "You can only get lungworms by eating snails or slugs."
Fact: You can also get infected from unwashed vegetables, fruits, or contaminated water that have tiny snail or slug slime on them.
Myth: "Lungworm infections are always severe."
Fact: Many lungworm infections are mild if treated early. However, without treatment, they can become serious, especially if the infection spreads to the lungs or brain.
Remember, even though lungworm infections in humans are rare, it's important to know about them, especially if you live in or travel to areas where they're more common. If you think you might have a lungworm infection, see a doctor right away.
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