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An Interesting Case of Cholangitis. | LitMetric

AI Article Synopsis

  • Ascariasis is a common parasitic infection that often shows no symptoms, but can lead to biliary ascariasis if worms migrate to the biliary tract, resulting in symptoms like abdominal pain, jaundice, and fever.
  • A case study details a patient who experienced fever, jaundice, breathlessness, loose stools, and altered mental status, but notably no abdominal pain.
  • Diagnosis was made through ultrasound and ERCP, and treatment involved endoscopic sphincterotomy and the medication albendazole, with the patient remaining stable after 10 days, illustrating the varied presentation of biliary ascariasis.

Article Abstract

Ascariasis is one of the most common parasitic infections in the world. It is mostly asymptomatic; however, rarely when the worms migrate to the biliary tract, they can cause biliary ascariasis. It typically presents with pain abdomen, jaundice, and fever. This case report is about a patient who presented with fever, icterus, breathlessness, loose stools, and altered sensorium but had no abdominal pain. The patient was diagnosed with biliary ascariasis using ultrasound and endoscopic retrograde cholangiopancreatography (ERCP). The patient was treated with endoscopic sphincterotomy and albendazole. The patient remained stable after 10 days. The absence of abdominal pain highlights the variability of the presentation of biliary ascariasis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181122PMC
http://dx.doi.org/10.7759/cureus.60537DOI Listing

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