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 83
- Downloads 0
The Effect of Performance-based Financing of Home Visitation in Overcoming Barriers to the Use of Modern Methods of Contraception in the Kumbo East Health District, Cameroon
Background: The use of modern methods of contraception (MMC) still remains a challenge in much of Sub-Saharan Africa including Cameroon. Performance-based Financing (PBF) home visitation was introduced in the Kumbo East...
Predictors of Postgraduate Dental Specialty Training Choice: The Nigerian Experience
Objectives: The objectives of this study are three-fold. First, to highlight areas of shortage in postgraduate dental education in Nigeria, secondly to propose the introduction of dental advisors into our postgraduate de...
Effect of Combined Quinine and Ciprofloxacin Therapy in Experimental Murine Plasmodiasis
The increasing spread of drug-resistant malaria parasite has necessitated the continuous search for even more effective malaria treatment including the combination of drugs known to have significant anti malarial potenti...
Epidemiological Trends of Lassa Fever Outbreaks and Insights for Future Control in Nigeria
The pattern of Lassa fever outbreaks in Nigeria over the years is worrisome and increasingly becoming more challenging with frequent and widening geographical spread. Lassa fever is endemic and fast becoming hyper-endemi...
Usefulness of Ascitic Fluid Cholesterol and Protein in the Differential Diagnosis of Ascites in Nigeria: Comparison with Conventional Cytology
Aim: This study was done to assess and evaluate the diagnostic accuracy of cholesterol and protein in differentiating ascites into malignant and non-malignant group in comparison with cytology. Study Design: A cross sect...