Ascariasis in a 75-year-old man with small bowel volvulus: a case report

Autores
Romano, Giovanni; Pepe, Paola; Cavallero, Serena; Cociancic, Paola; Di Libero, Lorenzo; Grande, Giovanni; Cringoli, Giuseppe; D'Amelio, Stefano; Rinaldi, Laura
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Ascaris lumbricoides and Ascaris suum are the most common soil-transmitted helminths of humans and pigs, respectively. The zoonotic potential of A. suum has been a matter of debate for decades. This study was aimed to present a case of human ascariasis caused by A. suum in southern Italy. Case presentation: A 75-year-old man presented to the department of surgery in Avellino (southern Italy) complaining of abdominal pain and vomiting. Physical examination revealed bloating and abdominal tenderness. A computed tomography scan showed air-fluid levels and small bowel distension. During exploratory laparotomy a small bowel volvulus with mesenteritis was evident and surprisingly an intraluminal worm was detected. The worm was removed with a small enterotomy and identified as an adult female of A. suum based on morphological and molecular analysis. Faecal examination revealed the presence of unfertilized Ascaris eggs with an intensity of 16 eggs per gram (EPG) of faeces. The patient was treated with mebendanzole 100 mg twice a day for 3 days. The post-operative course was regular with re-alimentation after 3 days and discharge after 12 days. Conclusions: This report shows as A. suum can function as a relevant agent of human zoonosis. Therefore, in patients with bowel obstruction with no evident aetiology a helminthic infestation should be considered for an accurate diagnosis, especially in patients living in rural areas.
Fil: Romano, Giovanni. Frieri-Criscuoli Hospital; Italia
Fil: Pepe, Paola. Università degli Studi di Napoli Federico II; Italia
Fil: Cavallero, Serena. Università di Roma; Italia
Fil: Cociancic, Paola. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Estudios Parasitológicos y de Vectores. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. Centro de Estudios Parasitológicos y de Vectores; Argentina
Fil: Di Libero, Lorenzo. Frieri-Criscuoli Hospital; Italia
Fil: Grande, Giovanni. Frieri-Criscuoli Hospital; Italia
Fil: Cringoli, Giuseppe. Università degli Studi di Napoli Federico II; Italia
Fil: D'Amelio, Stefano. Università di Roma; Italia
Fil: Rinaldi, Laura. Università degli Studi di Napoli Federico II; Italia
Materia
ASCARIASIS
ASCARIS SUUM
CASE REPORT
HUMAN
PIGS
VOLVULUS
ZOONOSIS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/180746
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/180746
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Ascariasis in a 75-year-old man with small bowel volvulus: a case reportRomano, GiovanniPepe, PaolaCavallero, SerenaCociancic, PaolaDi Libero, LorenzoGrande, GiovanniCringoli, GiuseppeD'Amelio, StefanoRinaldi, LauraASCARIASISASCARIS SUUMCASE REPORTHUMANPIGSVOLVULUSZOONOSIShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Ascaris lumbricoides and Ascaris suum are the most common soil-transmitted helminths of humans and pigs, respectively. The zoonotic potential of A. suum has been a matter of debate for decades. This study was aimed to present a case of human ascariasis caused by A. suum in southern Italy. Case presentation: A 75-year-old man presented to the department of surgery in Avellino (southern Italy) complaining of abdominal pain and vomiting. Physical examination revealed bloating and abdominal tenderness. A computed tomography scan showed air-fluid levels and small bowel distension. During exploratory laparotomy a small bowel volvulus with mesenteritis was evident and surprisingly an intraluminal worm was detected. The worm was removed with a small enterotomy and identified as an adult female of A. suum based on morphological and molecular analysis. Faecal examination revealed the presence of unfertilized Ascaris eggs with an intensity of 16 eggs per gram (EPG) of faeces. The patient was treated with mebendanzole 100 mg twice a day for 3 days. The post-operative course was regular with re-alimentation after 3 days and discharge after 12 days. Conclusions: This report shows as A. suum can function as a relevant agent of human zoonosis. Therefore, in patients with bowel obstruction with no evident aetiology a helminthic infestation should be considered for an accurate diagnosis, especially in patients living in rural areas.Fil: Romano, Giovanni. Frieri-Criscuoli Hospital; ItaliaFil: Pepe, Paola. Università degli Studi di Napoli Federico II; ItaliaFil: Cavallero, Serena. Università di Roma; ItaliaFil: Cociancic, Paola. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Estudios Parasitológicos y de Vectores. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. Centro de Estudios Parasitológicos y de Vectores; ArgentinaFil: Di Libero, Lorenzo. Frieri-Criscuoli Hospital; ItaliaFil: Grande, Giovanni. Frieri-Criscuoli Hospital; ItaliaFil: Cringoli, Giuseppe. Università degli Studi di Napoli Federico II; ItaliaFil: D'Amelio, Stefano. Università di Roma; ItaliaFil: Rinaldi, Laura. Università degli Studi di Napoli Federico II; ItaliaBioMed Central2021-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/180746Romano, Giovanni; Pepe, Paola; Cavallero, Serena; Cociancic, Paola; Di Libero, Lorenzo; et al.; Ascariasis in a 75-year-old man with small bowel volvulus: a case report; BioMed Central; BMC Infectious Diseases; 21; 1; 10-2021; 1-61471-2334CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-021-06718-zinfo:eu-repo/semantics/altIdentifier/doi/10.1186/s12879-021-06718-zinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-02-26T10:27:55Zoai:ri.conicet.gov.ar:11336/180746instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-02-26 10:27:55.674CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Ascariasis in a 75-year-old man with small bowel volvulus: a case report
title Ascariasis in a 75-year-old man with small bowel volvulus: a case report
spellingShingle Ascariasis in a 75-year-old man with small bowel volvulus: a case report
Romano, Giovanni
ASCARIASIS
ASCARIS SUUM
CASE REPORT
HUMAN
PIGS
VOLVULUS
ZOONOSIS
title_short Ascariasis in a 75-year-old man with small bowel volvulus: a case report
title_full Ascariasis in a 75-year-old man with small bowel volvulus: a case report
title_fullStr Ascariasis in a 75-year-old man with small bowel volvulus: a case report
title_full_unstemmed Ascariasis in a 75-year-old man with small bowel volvulus: a case report
title_sort Ascariasis in a 75-year-old man with small bowel volvulus: a case report
dc.creator.none.fl_str_mv Romano, Giovanni
Pepe, Paola
Cavallero, Serena
Cociancic, Paola
Di Libero, Lorenzo
Grande, Giovanni
Cringoli, Giuseppe
D'Amelio, Stefano
Rinaldi, Laura
author Romano, Giovanni
author_facet Romano, Giovanni
Pepe, Paola
Cavallero, Serena
Cociancic, Paola
Di Libero, Lorenzo
Grande, Giovanni
Cringoli, Giuseppe
D'Amelio, Stefano
Rinaldi, Laura
author_role author
author2 Pepe, Paola
Cavallero, Serena
Cociancic, Paola
Di Libero, Lorenzo
Grande, Giovanni
Cringoli, Giuseppe
D'Amelio, Stefano
Rinaldi, Laura
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ASCARIASIS
ASCARIS SUUM
CASE REPORT
HUMAN
PIGS
VOLVULUS
ZOONOSIS
topic ASCARIASIS
ASCARIS SUUM
CASE REPORT
HUMAN
PIGS
VOLVULUS
ZOONOSIS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Ascaris lumbricoides and Ascaris suum are the most common soil-transmitted helminths of humans and pigs, respectively. The zoonotic potential of A. suum has been a matter of debate for decades. This study was aimed to present a case of human ascariasis caused by A. suum in southern Italy. Case presentation: A 75-year-old man presented to the department of surgery in Avellino (southern Italy) complaining of abdominal pain and vomiting. Physical examination revealed bloating and abdominal tenderness. A computed tomography scan showed air-fluid levels and small bowel distension. During exploratory laparotomy a small bowel volvulus with mesenteritis was evident and surprisingly an intraluminal worm was detected. The worm was removed with a small enterotomy and identified as an adult female of A. suum based on morphological and molecular analysis. Faecal examination revealed the presence of unfertilized Ascaris eggs with an intensity of 16 eggs per gram (EPG) of faeces. The patient was treated with mebendanzole 100 mg twice a day for 3 days. The post-operative course was regular with re-alimentation after 3 days and discharge after 12 days. Conclusions: This report shows as A. suum can function as a relevant agent of human zoonosis. Therefore, in patients with bowel obstruction with no evident aetiology a helminthic infestation should be considered for an accurate diagnosis, especially in patients living in rural areas.
Fil: Romano, Giovanni. Frieri-Criscuoli Hospital; Italia
Fil: Pepe, Paola. Università degli Studi di Napoli Federico II; Italia
Fil: Cavallero, Serena. Università di Roma; Italia
Fil: Cociancic, Paola. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Estudios Parasitológicos y de Vectores. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. Centro de Estudios Parasitológicos y de Vectores; Argentina
Fil: Di Libero, Lorenzo. Frieri-Criscuoli Hospital; Italia
Fil: Grande, Giovanni. Frieri-Criscuoli Hospital; Italia
Fil: Cringoli, Giuseppe. Università degli Studi di Napoli Federico II; Italia
Fil: D'Amelio, Stefano. Università di Roma; Italia
Fil: Rinaldi, Laura. Università degli Studi di Napoli Federico II; Italia
description Background: Ascaris lumbricoides and Ascaris suum are the most common soil-transmitted helminths of humans and pigs, respectively. The zoonotic potential of A. suum has been a matter of debate for decades. This study was aimed to present a case of human ascariasis caused by A. suum in southern Italy. Case presentation: A 75-year-old man presented to the department of surgery in Avellino (southern Italy) complaining of abdominal pain and vomiting. Physical examination revealed bloating and abdominal tenderness. A computed tomography scan showed air-fluid levels and small bowel distension. During exploratory laparotomy a small bowel volvulus with mesenteritis was evident and surprisingly an intraluminal worm was detected. The worm was removed with a small enterotomy and identified as an adult female of A. suum based on morphological and molecular analysis. Faecal examination revealed the presence of unfertilized Ascaris eggs with an intensity of 16 eggs per gram (EPG) of faeces. The patient was treated with mebendanzole 100 mg twice a day for 3 days. The post-operative course was regular with re-alimentation after 3 days and discharge after 12 days. Conclusions: This report shows as A. suum can function as a relevant agent of human zoonosis. Therefore, in patients with bowel obstruction with no evident aetiology a helminthic infestation should be considered for an accurate diagnosis, especially in patients living in rural areas.
publishDate 2021
dc.date.none.fl_str_mv 2021-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/180746
Romano, Giovanni; Pepe, Paola; Cavallero, Serena; Cociancic, Paola; Di Libero, Lorenzo; et al.; Ascariasis in a 75-year-old man with small bowel volvulus: a case report; BioMed Central; BMC Infectious Diseases; 21; 1; 10-2021; 1-6
1471-2334
CONICET Digital
CONICET
url http://hdl.handle.net/11336/180746
identifier_str_mv Romano, Giovanni; Pepe, Paola; Cavallero, Serena; Cociancic, Paola; Di Libero, Lorenzo; et al.; Ascariasis in a 75-year-old man with small bowel volvulus: a case report; BioMed Central; BMC Infectious Diseases; 21; 1; 10-2021; 1-6
1471-2334
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-021-06718-z
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12879-021-06718-z
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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