Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction

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dc.contributor.authorPyuza, Jeremia J.
dc.contributor.authorAndongolile, Alice A.
dc.contributor.authorIssangya, Christain E.
dc.contributor.authorMsuya, David
dc.contributor.authorYahaya, James J.
dc.contributor.authorShao, Elichilia R.
dc.contributor.authorMremi, Alex R.
dc.date.accessioned2021-05-24T10:05:03Z
dc.date.available2021-05-24T10:05:03Z
dc.date.issued2020
dc.descriptionFull text article. Also available at https://doi.org/10.1093/jscr/rjaa096en_US
dc.description.abstractMass deworming against soil-transmitted helminthiasis, including Ascaris lumbricoides (AL), is one of the largest public health interventions in low- and middle-income countries. The prevalence of A. lumbricoides in Tanzania is 6.8%. We present a 3-year-old male of a known Tanzanian nomadic tribe (Masaai tribe) with history of missed deworming, who was brought to the emergency department with a 3-day history of constipation, non-projectile, bilious vomiting, generalized abdominal distension and pain. He was diagnosed with intestinal obstruction by the use of a plain abdominal X-ray, which revealed marked gaseous distension of the stomach and bowels without significant air-fluid levels. He was initially treated with intravenous ceftriaxone 50 mg/kg, metronidazole 15 mg/kg and acetaminophen 15 mg/kg. An explorative laparotomy was then performed. Intraoperative findings demonstrated a dense collection of A. lumbricoides worms in the gangrenous proximal jejunum and duodenum. Thorough abdominal lavage was carried out and abdomen was closed.en_US
dc.identifier.citationPyuza, J. J., Andongolile, A. A., Issangya, C. E., Msuya, D., Yahaya, J. J., Shao, E. R., & Mremi, A. R. (2020). Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction. Journal of Surgical Case Reports, 2020(5).en_US
dc.identifier.otherDOI: https://doi.org/10.1093/jscr/rjaa096
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3187
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.subjectAscaris lumbricoidesen_US
dc.subjectALen_US
dc.subjectSoil-transmitted helminthiasisen_US
dc.subjectPublic healthen_US
dc.subjectPublic health interventionsen_US
dc.subjectConstipationen_US
dc.subjectNonprojectileen_US
dc.subjectBilious vomitingen_US
dc.subjectAbdominal distensionen_US
dc.subjectAbdominal pain.en_US
dc.subjectPain.en_US
dc.titleMissed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstructionen_US
dc.typeArticleen_US
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