1. Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil.
- Author
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de Almeida BL, Silva DV, do Rosário MS, Gonçalves BSD, Nunes MG, Ney ALCM, Silvany C, and de Siqueira IC
- Subjects
- Animals, Ascariasis diagnostic imaging, Biliary Tract Diseases complications, Biliary Tract Diseases diagnostic imaging, Brazil, Child, Child, Preschool, Hospitals, Pediatric, Humans, Infant, Liver Abscess parasitology, Male, Peritonitis parasitology, Sepsis parasitology, Ascariasis complications, Ascariasis diagnosis, Bacterial Infections parasitology, Biliary Tract Diseases diagnosis, Biliary Tract Diseases parasitology, Coinfection
- Abstract
Introduction: Biliary ascariasis, although uncommon, can lead to infectious complications and severe outcomes. This study reported three patients with biliary ascariasis and who were admitted to a paediatric hospital in Salvador, Brazil., Case Reports: Case 1: A 1-year-old boy, with HIV, hospitalised with diarrhoea, fever, pain, and abdominal distension. He underwent an exploratory laparotomy, which showed peritonitis secondary to a perforation of the hepatic duct by ascaris. Case 2: A 3-year-old boy admitted with fever, abdominal pain and jaundice. Imaging examination was suggestive of ascaris in the intrahepatic biliary tract and a hepatic abscess. Case 3: A 7-year-old boy who was hospitalised with a history of abdominal colic, jaundice and fever, with a suggestive image of ascaris in the biliary tract and evolution to sepsis., Discussion: Three cases of biliary ascariasis were reported with severe infectious complications involving peritonitis, hepatic abscess and sepsis., Conclusion: In endemic regions, biliary ascariasis should be considered in cases with jaundice, abdominal pain and fever, due to its morbidity and risk of complications., (Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2020
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