1. Ascaris lumbricoides is the largest intestinal roundworm that infects humans. 2. It has a cosmopolitan distribution but mainly affects tropical countries. 3. Infection occurs through ingestion of Ascaris eggs from contaminated soil, water, or food. The eggs are very resilient and can survive for years in the environment. 4. Most infections are asymptomatic but symptoms can include pulmonary issues from migrating larvae or intestinal problems from adult worms such as abdominal pain or malnutrition.