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Disseminated ascariasis: a case report

H Daya, A Allie, R McCarthy

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |November 20, 1982
    PubMed
    Summary
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    This case report details a rare instance of ascariasis where adult roundworms migrated from the intestines to the liver, heart, and lungs, causing fatal pulmonary embolism.

    Area of Science:

    • Parasitology
    • Pathology
    • Medical Case Reports

    Background:

    • Ascariasis is a common intestinal roundworm infection.
    • Complications typically involve intestinal obstruction.
    • Worm migration to ectopic sites is rare.

    Observation:

    • A patient presented with massive migration of adult Ascaris lumbricoides.
    • Worms migrated from the small bowel to the liver, heart, and lungs.
    • Adult worms were identified within the pulmonary vasculature.

    Findings:

    • The cause of death was pulmonary embolism.
    • Adult worms obstructed major pulmonary arteries.
    • Superimposed thrombosis contributed to the fatal outcome.
    • This pattern of extensive migration and pulmonary involvement is considered unique.

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    Implications:

    • Highlights the potential for severe, atypical presentations of ascariasis.
    • Underscores the importance of considering parasitic infections in complex cardiopulmonary cases.
    • Suggests the need for vigilance in diagnosing and managing ascariasis, even in non-endemic areas.