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Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction

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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.
dc.language en
dc.publisher Oxford University Press
dc.subject Ascaris lumbricoides
dc.subject AL
dc.subject Soil-transmitted helminthiasis
dc.subject Public health
dc.subject Public health interventions
dc.subject Constipation
dc.subject Nonprojectile
dc.subject Bilious vomiting
dc.subject Abdominal distension
dc.subject Abdominal pain.
dc.subject Pain.
dc.title Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction
dc.type Article


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