Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges

One of the most prevalent parasitic infestation is ascariasis which poses a great challenge to both the person being infested with and the treating medical team. We present here a case of round worm (Ascaris lumbricoides) infestation. A 40-year-old male, weighing 60 kg, diagnosed as perforation pe...

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Main Authors: Ravindra Gehlot, Shekhar Suman Saxena, Indira Kumari, Virendra Verma, Aditya Bidwaikar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9415/22744_CE(RA1)_F(T)_PF1(SRI_RK)_PFA(RK)_PF2(P_AG)_PF3(AG_OM).pdf
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author Ravindra Gehlot
Shekhar Suman Saxena
Indira Kumari
Virendra Verma
Aditya Bidwaikar
author_facet Ravindra Gehlot
Shekhar Suman Saxena
Indira Kumari
Virendra Verma
Aditya Bidwaikar
author_sort Ravindra Gehlot
collection DOAJ
description One of the most prevalent parasitic infestation is ascariasis which poses a great challenge to both the person being infested with and the treating medical team. We present here a case of round worm (Ascaris lumbricoides) infestation. A 40-year-old male, weighing 60 kg, diagnosed as perforation peritonitis, was scheduled for emergency exploratory laparotomy. The round worm was crawling out from duodenal perforation vent during laparotomy confirming the infestation. Patient later developed bronchospasm in postextubation period and was managed accordingly. Surprisingly the patient expelled an adult worm in the next morning. This report highlights the importance of anticipating complications (i.e., airway obstruction, bronchospasm, etc.,) in an undiagnosed case of round worm infestation, especially if routine investigations were within normal limits.
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spelling doaj.art-f3b361a8197e404093ac4b17963832652022-12-21T21:49:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-02-01112UD01UD0210.7860/JCDR/2017/22744.9415Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic ChallengesRavindra Gehlot0Shekhar Suman Saxena1Indira Kumari2Virendra Verma3Aditya Bidwaikar4Assistant Professor, Department of Anaesthesia, Rnt Medical College, Udaipur, Rajasthan, India.Junior Registrar, Department of Anaesthesia, Rnt Medical College, Udaipur, Rajasthan, India.Professor, Department of Anaesthesia, Rnt Medical College, Udaipur, Rajasthan, India.Junior Registrar, Department of Anaesthesia, Rnt Medical College, Udaipur, Rajasthan, India.Junior Registrar, Department of Anaesthesia, Rnt Medical College, Udaipur, Rajasthan, India.One of the most prevalent parasitic infestation is ascariasis which poses a great challenge to both the person being infested with and the treating medical team. We present here a case of round worm (Ascaris lumbricoides) infestation. A 40-year-old male, weighing 60 kg, diagnosed as perforation peritonitis, was scheduled for emergency exploratory laparotomy. The round worm was crawling out from duodenal perforation vent during laparotomy confirming the infestation. Patient later developed bronchospasm in postextubation period and was managed accordingly. Surprisingly the patient expelled an adult worm in the next morning. This report highlights the importance of anticipating complications (i.e., airway obstruction, bronchospasm, etc.,) in an undiagnosed case of round worm infestation, especially if routine investigations were within normal limits.https://jcdr.net/articles/PDF/9415/22744_CE(RA1)_F(T)_PF1(SRI_RK)_PFA(RK)_PF2(P_AG)_PF3(AG_OM).pdfairway obstructionlaparotomyround worm
spellingShingle Ravindra Gehlot
Shekhar Suman Saxena
Indira Kumari
Virendra Verma
Aditya Bidwaikar
Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
Journal of Clinical and Diagnostic Research
airway obstruction
laparotomy
round worm
title Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
title_full Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
title_fullStr Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
title_full_unstemmed Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
title_short Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges
title_sort post extubation bronchospasm in an undiagnosed case of ascariasis anaesthetic challenges
topic airway obstruction
laparotomy
round worm
url https://jcdr.net/articles/PDF/9415/22744_CE(RA1)_F(T)_PF1(SRI_RK)_PFA(RK)_PF2(P_AG)_PF3(AG_OM).pdf
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