Mohammed NA, Adam AOE, Osman MAH, Abass HMA, Salih AMA, Abaker AAM, Mustafa A, Magoub M. Unusual Presentation of Pleural Space Ascariasis Infection from Eastern Sudan: A Case Report.
Res Rep Trop Med 2024;
15:73-78. [PMID:
39070289 PMCID:
PMC11277899 DOI:
10.2147/rrtm.s468422]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 07/16/2024] [Indexed: 07/30/2024] Open
Abstract
Background
Ascaris lumbricoides is a common infectious parasite of the gastrointestinal tract worldwide, but the invasion of the pleural cavity is rare.
Case Report
A 45-year-old man from Eastern Sudan presented to the emergency department complaining of breathlessness, cough stained with blood, and chest pain one month before his presentation. Also, he complained of high-grade fever for two weeks associated with sweating. Diagnosis of hydropneumothorax was made and a chest tube was inserted, two days later we found three adult A. lumbricoides worms in the chest drain.
Conclusion
The patient was treated with Albendazole 200 mg, orally twice, daily for seven days, he improved and was referred to a cardiothoracic surgeon for more assessment. Our study highlights that internal medicine specialists should know about pleural ascariasis when patients present with respiratory signs and symptoms, especially in A. lumbricoides endemic regions like Eastern Sudan.
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