scholarly journals Rare presentation of haemobilia and Loeffler’s pneumonia in a child by ascaris lumbricoides

2019 ◽  
Vol 12 (8) ◽  
pp. e230198
Author(s):  
Huma Arshad Cheema ◽  
Nadia Waheed ◽  
Anjum Saeed

Ascariasis is a soil-sourced, second most common parasitic infection worldwide. Because of its wandering nature, it migrates from the intestine to other organs of the body like the lungs and biliary system. This results in complications such as biliary colic, acute cholecystitis, pyogenic cholangitis, liver abscesses, pancreatitis and loeffler’s pneumonia. We report a unique case of an 8-year-old boy who presented with upper gastrointestinal bleed and chest infection. He was diagnosed as haemobilia and loeffler’s pneumonia caused by ascaris lumbricoides.

Cureus ◽  
2020 ◽  
Author(s):  
Shivani Priyadarshni ◽  
Balarama K Surapaneni ◽  
Kairavee Dave ◽  
Steven Kaplan ◽  
Nehal Patel

2021 ◽  
Vol 14 (1) ◽  
pp. e238232
Author(s):  
Ramanan Sinduja ◽  
Chellappa Vijayakumar ◽  
Mahalingam Sudharshan ◽  
Uday Shamrao Kumbhar ◽  
Bharat Manohara Naik ◽  
...  

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.


2021 ◽  
Vol 14 (8) ◽  
pp. e243758
Author(s):  
Saikat Patra ◽  
Pavan Kalamdani ◽  
Thaslima Kalathingal ◽  
Jayashree Mondkar

Massive upper gastrointestinal bleed is an emergency in newborns. Common causes are coagulopathy and thrombocytopenia. Stress-induced duodenal ulcer has also been reported as an unusual cause for massive upper gastrointestinal bleed. Managing such cases requires correct diagnosis and prompt treatment to prevent catastrophic complications. We report a case of bleeding duodenal ulcer probably secondary to ovarian torsion.


2021 ◽  
Vol 42 (1) ◽  
pp. 115-121
Author(s):  
L.Y. Adogo ◽  
H.D. Yakubu ◽  
J.I. Maikenti

The consumption of fresh vegetables serves as source of important nutrients in the body; however, parasitic infection from the consumption of raw fruits and vegetables is on the increase. This study aimed at identifying the parasitic contamination of Vegetables sold at Masaka market New Karu, Nasarawa State. A total of 240 samples of vegetables were examined by sedimentation concentration after washing using normal saline. The overall prevalence of parasitic contamination was 52.5%. Fluted pumpkin (93.3%) was the most contaminated vegetable while cucumber and apple (16.7%) were the least contaminated vegetables (P>0.05). Strongyloides stercoralis(28.9%) was the most frequently detected parasite followed by Taenia spp (18.8%), Entamoeba coli (17.2%), Hookworm (13.3%), Entamoeba histolytica (8.6%), Ascaris lumbricoides (7.8%) and Toxocara spp (5.5%) was the least detected parasite. The parasitic contamination of different vegetables shows that Tomatoes and Lettuce had the highest poly-parasitic contamination of four species of parasites, whereas Apple and Cucumber had the least poly-parasitic contamination of one parasite. Strongyloides stercoralis had the highest infestation (37.5%) of the water samples used to refresh the vegetables. Vegetables that were washed before display for selling was significantly associated with reduced parasitic contamination (P>0.05). Vegetables are potential sources of transmission for intestinal parasites in the study area, hence, proper washing of fruits and cooking of vegetables is required to reduce parasitic infections. Keywords: Vegetables, Parasitic contamination, Masaka, Karu, Nasarawa


2017 ◽  
pp. 119-124
Author(s):  

Introduction: Intestinal parasite infections werecommonintropical country such as Vietnam. Having good knowledge of parasitic infectious prevention and changing risk behaviors can decrease the infection rate. Objective: To evaluate the parasitic infectious rate in Vinh Thai community before and after being health education and the changing of knowledge of parasitic infectious prevention and risk behaviors. Materials and methods: 60 households in Vinh Thai commune were interviewed their knowledge of parasitic infectious prevention and examined intestinal parasite infection by Kato technique and then trained the knowledge of parasitic infectious prevention. The interview and examination parasite infectiousrate were carried out after 6 months to evaluating their knowledge. Result: Before health education, the rate of intestinal parasite infection was 17.4% with the prevalence of Ascaris lumbricoides, hookworm, whipworm, pinworm, small fluke worm and co-infection with A. lumbricoides - whipworm, hookworm-whipworm were 0.1%; 8.0%; 5.8%; 0.6%; 0.3%; 1.2% and 3.0% respectively. Six months later the rate of intestinal parasite infection was decreased in 12.6% even though not statistical significantly. However, there were no case of small fluke worm and co-infection with hookworm-whipworm. Receiving health education, their knowledge of parasitic infectious prevention was higher significantly but their risk behaviors were not changed so much. Conclusion: Health education can change the rate of parasite infection with higher knowledge of parasitic infectious prevention but it was necessary continuous study to change the risk behaviors. Key words: intestinal parasite, health education


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Asarbakhsh ◽  
N Lazarus ◽  
P Lykoudis

Abstract Background The definitive management of acute cholecystitis is laparoscopic cholecystectomy on the same admission if the patient is fit. As the Covid-19 pandemic emerged, evidence suggested adverse outcomes for asymptomatic Covid positive patients undergoing surgery, including increased mortality risk. Risks to theatre staff were also highlighted. This prompted changes in acute cholecystitis management guidelines. Method The audit aim was to assess the impact of guideline change on clinical outcomes and readmission rate for acute cholecystitis. The revised Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS) guidelines were the gold standard. All inpatient admissions for acute cholecystitis during the 4-week peak of the pandemic (17/04/2020 – 14/05/2020) were included. Result 24 patients were admitted with acute cholecystitis. 10 patients (41.7%) were managed with antibiotics alone, 4 patients (16.6%) underwent cholecystostomy. 12 patients (50%) were discharged within 3 days. Lack of clinical progress/ongoing symptoms was the indication for laparoscopic cholecystectomy in 5 cases (20.8%). 5 conservatively managed patients (20.8%) were readmitted with ongoing cholecystitis or pancreatitis. Conclusions 19 patients (80%) were managed non-surgically in accordance with AUGIS guidelines. However conservative management was not always appropriate. We recommend that laparoscopic cholecystectomy should remain a management option for acute cholecystitis during the ongoing Covid-19 pandemic.


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