dc.creator |
Pyuza, Jeremia J. |
|
dc.creator |
Andongolile, Alice A. |
|
dc.creator |
Issangya, Christain E. |
|
dc.creator |
Msuya, David |
|
dc.creator |
Yahaya, James J. |
|
dc.creator |
Shao, Elichilia R. |
|
dc.creator |
Mremi, Alex R. |
|
dc.date |
2021-05-24T10:05:03Z |
|
dc.date |
2021-05-24T10:05:03Z |
|
dc.date |
2020 |
|
dc.date.accessioned |
2022-10-20T14:01:47Z |
|
dc.date.available |
2022-10-20T14:01:47Z |
|
dc.identifier |
Pyuza, J. J., Andongolile, A. A., Issangya, C. E., Msuya, D., Yahaya, J. J., Shao, E. R., & Mremi, A. R. (2020). Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction. Journal of Surgical Case Reports, 2020(5). |
|
dc.identifier |
DOI: https://doi.org/10.1093/jscr/rjaa096 |
|
dc.identifier |
http://hdl.handle.net/20.500.12661/3187 |
|
dc.identifier.uri |
http://hdl.handle.net/20.500.12661/3187 |
|
dc.description |
Full text article. Also available at https://doi.org/10.1093/jscr/rjaa096 |
|
dc.description |
Mass deworming against soil-transmitted helminthiasis, including Ascaris lumbricoides (AL), is one of the largest public health interventions in low- and middle-income countries. The prevalence of A. lumbricoides in Tanzania is 6.8%. We present a 3-year-old male of a known Tanzanian nomadic tribe (Masaai tribe) with history of missed deworming, who was brought to the emergency department with a 3-day history of constipation, non-projectile, bilious vomiting, generalized abdominal distension and pain. He was diagnosed with intestinal obstruction by the use of a plain abdominal X-ray, which revealed marked gaseous distension of the stomach and bowels without significant air-fluid levels. He was initially treated with intravenous ceftriaxone 50 mg/kg, metronidazole 15 mg/kg and acetaminophen 15 mg/kg. An explorative laparotomy was then performed. Intraoperative findings demonstrated a dense collection of A. lumbricoides worms in the gangrenous proximal jejunum and duodenum. Thorough abdominal lavage was carried out and abdomen was closed. |
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dc.language |
en |
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dc.publisher |
Oxford University Press |
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dc.subject |
Ascaris lumbricoides |
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dc.subject |
AL |
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dc.subject |
Soil-transmitted helminthiasis |
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dc.subject |
Public health |
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dc.subject |
Public health interventions |
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dc.subject |
Constipation |
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dc.subject |
Nonprojectile |
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dc.subject |
Bilious vomiting |
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dc.subject |
Abdominal distension |
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dc.subject |
Abdominal pain. |
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dc.subject |
Pain. |
|
dc.title |
Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction |
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dc.type |
Article |
|