An unusual case of fever and abdominal pain

Ascariasis is one of the commonest parasitic infestations in tropical countries. Main symptoms are pain in abdomen, weight loss, diarrhea and passage of worms in stool. If acute, it may present as intestinal obstruction, perforation, cholangitis, appendicitis and pancreatitis. The incidence of hepat...

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Bibliographic Details
Published inAnnals of tropical medicine and public health Vol. 5; no. 3; p. 265
Main Authors Diwan, Arundhati, Dabadghao, Varsha, Najeeb, T, Dave, Priti
Format Journal Article
LanguageEnglish
Published Accra Medknow Publications and Media Pvt. Ltd 01.05.2012
Medknow Publications & Media Pvt. Ltd
Subjects
Abdomen
Abdominal pain
Appendicitis
Appendix
Ascariasis
Case studies
Diagnosis
Fever
Gallbladder
Gallbladder diseases
Health aspects
Hyperthermia
Medical imaging
Migration
Tuberculosis
Worms
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Summary:Ascariasis is one of the commonest parasitic infestations in tropical countries. Main symptoms are pain in abdomen, weight loss, diarrhea and passage of worms in stool. If acute, it may present as intestinal obstruction, perforation, cholangitis, appendicitis and pancreatitis. The incidence of hepato-biliary ascariasis is probably underestimated. We report a case which presented to us with fever, abdominal pain and weight loss of a month's duration, mimicking abdominal tuberculosis. On investigations, patient was found to have ascariasis of gall bladder, terminal ileum, caecum and appendix, causing simultaneous inflammation of all these structures.
ISSN:1755-6783
0974-6005
DOI:10.4103/1755-6783.98635