Related Experiment Videos
Abdominal angiostrongyliasis: report of two cases with different clinical presentations
Rubens Rodriguez1, Roberta Martins Dequi, Lucas Peruzzo
1Medical School, Universidade de Passo Fundo, Passo Fundo, RS, Brazil.
Abstract:
Abdominal angiostrongyliasis is a sporadic infectious disease caused by the nematode Angiostrongylus costaricensis. It usually presents as acute abdomen, secondary to mesenteric ischemia, and pronounced eosinophilia. In some cases its course is insidious and transient, and the diagnosis is suspicious. The disease is confirmed by the detection of A. costaricensis elements in surgical specimen. The treatment is supportive, with avoidance of antihelminthic administration due to a possible erratic migration followed by worsening of the disease. We report two cases, both with intense eosinophilia and serum IgG-ELISA positive to A. costaricensis. The first case presented ileal perforation and was surgically treated. The second one showed hepatic nodules at ultrasound and was only symptomatically treated, evolving to an apparent protracted resolution. These two cases exemplify different clinical forms of the disease, one of them with liver involvement.
Related Concept Videos
Aneurysm II: Clinical Manifestations and Diagnostic Studies
American Trypanosomiasis
Amebiasis
Giardiasis
Acute Pancreatitis II: Clinical Manifestations and Management
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.