Produção Nacional
Revisado por pares
Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil
2020; Elsevier BV; Volume: 95; Linguagem: Inglês
10.1016/j.ijid.2020.03.045
ISSN1878-3511
AutoresBreno Lima de Almeida, Daniel Vicente Silva, Mateus Santana do Rosário, Bruno Simões Dias Gonçalves, Míria Guimarães Nunes, André Luis Chukr Mafra Ney, Célia Silvany, Isadora Cristina de Siqueira,
Tópico(s)Global Maternal and Child Health
ResumoIntroductionBiliary ascariasis, although uncommon, can lead to infectious complications and severe outcomes. This study reported three patients with biliary ascariasis and who were admitted to a paediatric hospital in Salvador, Brazil.Case reportsCase 1: A 1-year-old boy, with HIV, hospitalised with diarrhoea, fever, pain, and abdominal distension. He underwent an exploratory laparotomy, which showed peritonitis secondary to a perforation of the hepatic duct by ascaris. Case 2: A 3-year-old boy admitted with fever, abdominal pain and jaundice. Imaging examination was suggestive of ascaris in the intrahepatic biliary tract and a hepatic abscess. Case 3: A 7-year-old boy who was hospitalised with a history of abdominal colic, jaundice and fever, with a suggestive image of ascaris in the biliary tract and evolution to sepsis.DiscussionThree cases of biliary ascariasis were reported with severe infectious complications involving peritonitis, hepatic abscess and sepsis.ConclusionIn endemic regions, biliary ascariasis should be considered in cases with jaundice, abdominal pain and fever, due to its morbidity and risk of complications.
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