Laboratory parameters of 1st order – obligatory laboratory tests.
- Small blood count
- Differential blood count [eosinophilia in 14-38% of cases]
- Ferritin – if iron deficiency anemia is suspected.
- Inflammatory parameter – CRP (C-reactive protein).
- Stool examination for enteropathogenic germs, fungi, parasites and worm eggs.
- Microscopic examination of the thick drop and thin blood smears (plasmodia direct detection) – suspected malaria (DD of schistosoma [schistosomiasis; schistosomiasis]).
- Immunoglobulin E [↑]
- Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin.
- Renal parameters – urea, creatinine, cystatin C if necessary.
- Coagulation parameters – PTT, Quick
| Trunk | Family | Type | Detection worm/ larva | Detection egg |
| Cestodes (tapeworms) | Hymenolepidae | Diphyllobothrium latum (fish tapeworm). | Fecal (worm/proglottid) | Stool |
| Cyclophyllidae | Taenia saginata (bovine tapeworm) Taenia solium (porcine tapeworm) | Fecal (worm/proglottids) | Stool | |
| Echinococcus [echinococcosis] | Echinococcus granulosus (dog tapeworm) Echinococcus multilocularis (fox tapeworm) Echinococcus vogeli Echinococcus oligarthus Direct or indirect detection of Echinococcus sp. is reportable according to the Infection Protection Act (IfSG). | Biopsy (fins) | – | |
| Pseudophyllidae | Vampirolepis nana Hymenolepis diminuta | – | Chair | |
| Nematodes (threadworms) | Oxyuridae (pinworms) | Enterobius vermicularis | Stool vaginal secretion | Perianal skin: perianal “adhesive tape swab” preparation made in the morning before the first bowel movement and before washing. |
| Ascarididae (roundworms) | Ascaris lumbricoides Anisakis marina Anisakis simplex Toxocara canis/-cati | Stool vomit stomach wall | Stool | |
| Ancylstomatidae (hookworms) | Ancylostoma duodenale Necator americanus | Small intestine wall | Stool | |
| Rhabditidae | Strongyloides stercoralis (dwarf nematode) Strongyloides fuelleborni | Possibly larvae in stool | Stool | |
| Angiostrongylidae | Angiostrongylus cantonensis (rat lungworm) Angiostrongylus costaricensis | |||
| Trichuridae (whipworms) | Trichuris trichiura | Intestinal wall | Stool | |
| Trichinella (trichinosis) [trichinellosis]. | Trichinella spiralis Trichinella nelsoni Trichnella nativa Trichinella britovi Trichinella pseudospiralis Direct or indirect detection of Trichinella spiralis is reportable according to the Infection Protection Act (IfSG). | Muscle biopsy | – | |
| Filiariidae (nematodes) | Wuchereria bancrofti Brugia malayi Brugia timori Loa loa Onchocerca volvulus | Bloodstream skin snip | – | |
| Spiruridae | Dracunculus medinensis | Leakage from skin wound | – | |
| Tramatodes (flukes) | Paragonimidae | Paragonimus spp. | – | Bronchial secretion lung tissue |
| Schistosomes | S. mansoniS. heamatobiumS. japanicum | – | ChairUrin | |
| Trematodes (Sucking worms) | Schistosomatidae[schistosomiasis; schistosomiasis] | Schistosoma haematobium Schistosoma japonicum Schistosoma mekongi Schistosoma mansoni Schistosoma intercalatum | Biopsy (theoretical) | Stool urine |
| Liver fluke | Opisthorchis felineus (cat liver fluke) Opisthorchis viverrini (chin.Liver fluke) Clonorchis sinensis Dicrocoelium dendriticum Fasciola hepatica Fasciola gigantica | Biopsy (theoretical) | Stool duodenal juice | |
| Intestinal fluke | Fasciolopsis buski Metagonimus Heterophyes Echinostoma Gastrodiscoides Watsonius | |||
| Lung Leech | Paragonimus westermani Paragonimus heterotremus Paragonimus africanus Paragonimus uterobilateralis Paragonimus mexicanus Paragonimus iyazakii Paragonimus kellicotti | Biopsy (theoretical) | Sputum |
