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In vivo Measurement of the Mouse Pulmonary Endothelial Surface Layer
Published on: February 22, 2013
Ascaris through a chest tube: a rare presentation
Reyaz A Lone1, Mohd Lateef Wani, Mohsin Manzoor
1Sheri-Kashmir Institute of Medical Sciences, Soura Srinager, India. latifs_dr@yahoo.com
Summary
A rare case of Ascaris lumbricoides infestation presented unusually when a worm emerged from a chest tube in a child with a liver abscess and pleural effusion. This highlights the importance of recognizing rare intrapleural ascariasis complications.
Area of Science:
- Parasitology
- Clinical Medicine
- Pediatrics
Background:
- Ascariasis, caused by Ascaris lumbricoides, is a common human parasitic infection.
- Complications of ascariasis typically involve the gastrointestinal and hepatobiliary systems.
- Intrapleural ascariasis is an exceptionally rare manifestation.
Observation:
- A five-year-old male child presented with a ruptured liver abscess and right-sided pleural effusion.
- An intercostal chest tube was placed to manage the pleural effusion.
- A 7 cm Ascaris lumbricoides worm was observed emerging from the chest tube on postoperative day 5.
Findings:
- The case represents a unique instance of intrapleural migration of Ascaris lumbricoides.
- This presentation underscores the potential for aberrant parasite migration beyond typical anatomical pathways.
- The mobility of Ascaris lumbricoides contributes to its potential to cause diverse and unexpected complications.
Implications:
- Clinicians should consider rare parasitic complications, such as intrapleural ascariasis, in patients with relevant exposure history.
- Prompt recognition and management are crucial to prevent morbidity associated with aberrant parasite migration.
- This case emphasizes the need for heightened awareness of the full spectrum of Ascaris lumbricoides complications, including thoracic presentations.
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