Ascaris liver abscess in children

Bari, Shams ul; Sheikh, Khursheed Ahmad; Ashraf, Mohammad; Hussain, Zahoor; Hamid, Asif; Mufti, Gowhar Nazir

doi:10.1007/s00535-006-1989-5

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…Whilst this study and review focused primarily on bacterial causes of liver abscess, it should be noted that parasitic organisms are also common etiological factors, particularly in tropical and subtropical climates. Entamoeba histolytica and the nematode Ascaris lumbricoides are two such parasites associated with liver abscess formation, and should be considered in patients from endemic areas [1,10,11]. …”

Section: Discussionmentioning

confidence: 99%

Modern management of pyogenic hepatic abscess: a case series and review of the literature

et al. 2011

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BackgroundPyogenic hepatic abscesses are relatively rare, though untreated are uniformly fatal. A recent paradigm shift in the management of liver abscesses, facilitated by advances in diagnostic and interventional radiology, has decreased mortality rates. The aim of this study was to review our experience in managing pyogenic liver abscess, review the literature in this field, and propose guidelines to aid in the current management of this complex disease.MethodsDemographic and clinical details of all patients admitted to a single institution with liver abscess over a 5 year period were reviewed. Clinical presentation, aetiology, diagnostic work-up, treatment, morbidity and mortality data were collated.ResultsOver a 5 year period 11 patients presented to a single institution with pyogenic hepatic abscess (55% males, mean age 60.3 years). Common clinical features at presentation were non-specific constitutional symptoms and signs. Aetiology was predominantly gallstones (45%) or diverticular disease (27%). In addition to empiric antimicrobial therapy, all patients underwent radiologically guided percutaneous drainage of the liver abscess at diagnosis and only 2 patients required surgical intervention, including one 16-year old female who underwent hemi-hepatectomy for a complex and rare Actinomycotic abscess. There were no mortalities after minimum follow-up of one year.ConclusionsPyogenic liver abscesses are uncommon, and mortality has decreased over the last two decades. Antimicrobial therapy and radiological intervention form the mainstay of modern treatment. Surgical intervention should be considered for patients with large, complex, septated or multiple abscesses, underlying disease or in whom percutaneous drainage has failed.

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Section: Discussionmentioning

confidence: 99%

Modern management of pyogenic hepatic abscess: a case series and review of the literature

et al. 2011

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“…The alveolar membrane is damaged, and worms are expectorated and reenter the intestinal tract by day eighth or tenth, where they mature into adults with subsequent oral, nasal, or anal passage. People with poor socioeconomic environment, education, sanitization, poor hygienic habits or lack of water supply are more proper to acquire and re-acquire this parasite although proper treatment [1,4].…”

Section: Discussionmentioning

confidence: 99%

Liver Abscess Secondary to Ascaris Lumbricoides: Case Report

Andrade¹,

Aguilar²,

Duarte³

et al. 2016

Arch Clin Gastroenterol

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“…1 Ascaris-induced hepatic abscess with worms inside the abscess cavity for therapeutic purposes [2][3][4][5][6]. The patient with Ascarisinduced hepatic abscess should be treated with broadspectrum antibiotics, antihelminthic drugs, and percutaneous aspiration/drainage abscess, which should be followed by removal of worms by endoscopic, percutaneous, or surgical methods, if feasible [2,3,6,7].…”

Section: Discussionmentioning

confidence: 99%

Ascariasis Presenting as Acute Abdomen—A Case Report

Nag

2012

Indian J Surg

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Infection with Ascaris lumbricoides is common in tropical and subtropical regions of the world. Prevalence of ascariasis is related to poverty, poor hygiene and poor fecal sanitation. This helminth usually lives harmlessly in small intestine but can also cause intestinal obstruction or perforation peritonitis which is common in childhood. Ascaris can also migrate through ampulla of vater to produce cholangitis, pancreatitis,cholecystitis and rarely hepatic abscess. Ascaris induced hepatic abscess can sometimes present with acute abdomen (like acute pyogenic abscess). We present a young adult with Ascaris induces hepatic abscess who presented and a case of acute abdomen in emergency department.

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Ascaris liver abscess in children

Abstract: We conclude that Ascaris infestation should always be kept in mind while dealing with liver abscess in children.

Cited by 17 publications

References 5 publications

Modern management of pyogenic hepatic abscess: a case series and review of the literature

Modern management of pyogenic hepatic abscess: a case series and review of the literature

Liver Abscess Secondary to Ascaris Lumbricoides: Case Report

Ascariasis Presenting as Acute Abdomen—A Case Report

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