Ascaris lumbricoides Beyond Intestinal Obstruction
Journal Title: International Journal of TROPICAL DISEASE & Health - Year 2015, Vol 6, Issue 4
Abstract
Ascaris lumbricoides infestation remains the most common cause of eosinophilia. In addition, in cases of severe eosinophilia due to helminthinfestation, eosinophilic infiltration of several tissues may occur, and most likely to be clinically underestimated. If not early diagnosed, it can be severe and fatal. We describe the case of a 33 year-old man from Brazil, a unique case of Ascaris lumbricoides hipereosinophilia with systemic involvement including the heart, kidneys, and bone marrow, without symptoms. Transthoracic echocardiography revealed a dilated left ventricle with an endocardial thickening. A percutaneous renal biopsy revealed diffuse global glomerulonephritis and tubulointerstitial nephritis with renal eosinophilic infiltration. Bone marrow biopsy revealed eosinophilic infiltration without any signs of malignant disorder. The patient was successfully treated and resulted in significant organ improvement. Early institution of empiric therapy may be the most effective approach while perform an extensive empirical evaluation for alternative causes of disease.
Authors and Affiliations
Henrique Pott-Junior, Alberto Pereira Ferraz
Keywords
Related Articles
- EP ID EP343361
- DOI 10.9734/IJTDH/2015/15678
- Views 84
- Downloads 0
Implementing Surveillance and Outbreak Response Management and Analysis System (SORMAS) for Public Health in West Africa- Lessons Learnt and Future Direction
Background: Mobile devices have the potential to strengthen surveillance in sub-Saharan Africa. Electronic surveillance (eSurveillance) is the use of electronic systems to facilitate public health surveillance. Mobile he...
Malaria and Agriculture: Examining the Cost Implications and Effect on Productivity among Farm Households in Kogi State, Nigeria
Aims: identify the socioeconomic characteristics of farm households in the study area; determine factors that influence malaria incidence rate among farming households; estimated the costs effect of malaria on farm house...
Identification of Virulence Factors Produced by Candida Isolates from HIV Seropositive and HIV Seronegative Pregnant Women
Background: Candida infection has been shown to be a source of morbidity in pregnancy and in immunocompromised individuals due to elaboration of virulence factors. Study Design: The study was designed to identify vari...
Subtotal Thyroidectomy under Local Anesthesia in a Pregnant Woman Presenting with Giant Goiter: A Case Study
Thyroid surgery is performed by most surgeons in practice using general anesthesia. In resource poor developing nations with paucity of anesthetists, anesthetic drugs and equipment, it can be done under local anesthesia...
Fine Needle Aspiration Cytology in Lesions of Gall Bladder - Experience in a Primary Care Setting
Aims: In certain regions of India, cancer of gall bladder (GBCa) is a common form of malignancy. In the Gangetic belt, its incidence is up to 10 times greater as compared to some other parts of the country. The aim of th...