Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil

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...

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Main Authors: Breno Lima de Almeida, Daniel Vicente Silva, Mateus Santana do Rosário, Bruno Simões Dias Gonçalves, Míria Guimarães Nunes, André Luis Chukr Mafra Ney, Celia Silvany, Isadora Cristina de Siqueira
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971220301776
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author Breno Lima de Almeida
Daniel Vicente Silva
Mateus Santana do Rosário
Bruno Simões Dias Gonçalves
Míria Guimarães Nunes
André Luis Chukr Mafra Ney
Celia Silvany
Isadora Cristina de Siqueira
author_facet Breno Lima de Almeida
Daniel Vicente Silva
Mateus Santana do Rosário
Bruno Simões Dias Gonçalves
Míria Guimarães Nunes
André Luis Chukr Mafra Ney
Celia Silvany
Isadora Cristina de Siqueira
author_sort Breno Lima de Almeida
collection DOAJ
description 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.
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spelling doaj.art-fd9ac3bf64d041f9b91f990847d36d9a2022-12-21T23:03:15ZengElsevierInternational Journal of Infectious Diseases1201-97122020-06-0195115117Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in BrazilBreno Lima de Almeida0Daniel Vicente Silva1Mateus Santana do Rosário2Bruno Simões Dias Gonçalves3Míria Guimarães Nunes4André Luis Chukr Mafra Ney5Celia Silvany6Isadora Cristina de Siqueira7Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador-BA, BrazilHospital da Criança das Obras Sociais de Irmã Dulce, Salvador-BA, BrazilHospital Santa Izabel, Salvador-BA, BrazilHospital da Criança das Obras Sociais de Irmã Dulce, Salvador-BA, BrazilHospital da Criança das Obras Sociais de Irmã Dulce, Salvador-BA, BrazilHospital da Criança das Obras Sociais de Irmã Dulce, Salvador-BA, BrazilHospital da Criança das Obras Sociais de Irmã Dulce, Salvador-BA, BrazilInstituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador-BA, Brazil; Corresponding author.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.http://www.sciencedirect.com/science/article/pii/S1201971220301776Biliary ascariasisAscaris lumbricoidesSepsisLiver abscess
spellingShingle Breno Lima de Almeida
Daniel Vicente Silva
Mateus Santana do Rosário
Bruno Simões Dias Gonçalves
Míria Guimarães Nunes
André Luis Chukr Mafra Ney
Celia Silvany
Isadora Cristina de Siqueira
Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
International Journal of Infectious Diseases
Biliary ascariasis
Ascaris lumbricoides
Sepsis
Liver abscess
title Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
title_full Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
title_fullStr Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
title_full_unstemmed Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
title_short Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
title_sort biliary ascariasis and severe bacterial outcomes report of three cases from a paediatric hospital in brazil
topic Biliary ascariasis
Ascaris lumbricoides
Sepsis
Liver abscess
url http://www.sciencedirect.com/science/article/pii/S1201971220301776
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