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An Interesting Case of Cholangitis
Sontosh Reddy1, Archith Boloor1, Nikhil Kenny Thomas2
1Internal Medicine, Kasturba Medical College, Mangalore, Mangalore, IND.
Cureus
|June 18, 2024
Summary
Biliary ascariasis, a rare complication of ascariasis, can present without typical abdominal pain. This case highlights the diverse clinical manifestations of this parasitic infection.
Area of Science:
- Parasitology
- Gastroenterology
- Infectious Diseases
Background:
- Ascariasis is a globally prevalent parasitic infection, frequently asymptomatic.
- Biliary ascariasis occurs when Ascaris worms migrate to the biliary tract, typically causing abdominal pain, jaundice, and fever.
Observation:
- A patient presented with fever, jaundice, breathlessness, loose stools, and altered sensorium, notably lacking abdominal pain.
- Diagnostic imaging, including ultrasound and ERCP, confirmed biliary ascariasis.
Findings:
- The patient was successfully treated with endoscopic sphincterotomy and albendazole.
- Recovery was observed within 10 days post-intervention.
Implications:
- This case underscores the varied clinical presentations of biliary ascariasis, emphasizing that abdominal pain is not a universal symptom.
- Awareness of atypical presentations is crucial for timely diagnosis and effective management of parasitic infections affecting the biliary system.
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