Ascariasis in the intrahepatic biliary duct: about a case in pediatrics

被引:0
|
作者
Racioppi, Fernanda A. [1 ]
Cestari, Matias [1 ]
Puccar, Pablo [1 ]
El Kik, Soraya [1 ]
Ferrari, Mariela [1 ]
Lipsich, Jose [1 ]
Garriga, Matias [1 ]
Sarkis, Claudia [1 ]
Paulin, Patricia [1 ]
机构
[1] Hosp Pediat Prof Dr Juan P Garrahan, Buenos Aires, DF, Argentina
来源
ARCHIVOS ARGENTINOS DE PEDIATRIA | 2020年 / 118卷 / 05期
关键词
ascariasis; bile ducts; cholangiography;
D O I
10.5546/aap.2020.e476
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Twenty five percent of the world population is affected by Ascaris lumbricoides. Hepatobiliary ascariasis occurs in areas with high endemicity and great amount of parasitic load, generating intense inflammation to fibrosis. We report a two-year-old patient that consults about abdominal distension and cough of one month of evolution associated with 72 hours of fever. Abdominal ultrasound is performed, which shows bile duct, stomach, small intestine with ascaris and chest x-ray with interstitial inflammatory infiltrate, associated with hyperleukocytosis with hypereosinophilia and elevated gamma-glutamyl transpeptidase. Antibiotic, anthelminthic treatment is administered, without achieving the elimination of the bileduct parasites, requiring their removal by percutaneous cholangiography.
引用
收藏
页码:E476 / E479
页数:4
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