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Acute airway obstruction by Ascaris lumbricoides in a 14-month-old boy

Richard Wei Chern Gan1, Rohit Gohil2, Katherine Belfield3

  • 1Ear, Nose & Throat Department, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Rd, Nottingham NG7 2UH, UK.

International Journal of Pediatric Otorhinolaryngology
|August 18, 2014
PubMed

Insights

Ascaris lumbricoides worms can cause severe airway obstruction in children. Prompt removal of the worm is crucial for resolving this life-threatening condition.

Area of Science:

  • Pediatric Intensive Care
  • Parasitology
  • Clinical Case Reports

Background:

  • Ascariasis is a common intestinal nematode infection globally.
  • Airway obstruction is a rare but serious complication of ascariasis.

Observation:

  • A 14-month-old child presented with sepsis and subsequently developed acute airway obstruction.
  • The obstruction was directly caused by a mature Ascaris lumbricoides worm lodged in the airway.

Findings:

  • Successful removal of the Ascaris worm led to the immediate resolution of airway obstruction.
  • The case highlights the importance of considering parasitic infections in pediatric airway emergencies.

Implications:

  • This case underscores the need for awareness of unusual presentations of ascariasis.
  • Early diagnosis and intervention are critical for managing Ascaris-induced airway obstruction in children.

Keywords:
Airway obstructionAscariasisAscaris lumbricoidesChildEosinophiliaEosinophilic pneumonia

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