Jejunal perforation caused by abdominal angiostrongyliasis
The authors describe a case of abdominal angiostrongyliasis in an adult patient presenting acute abdominal pain caused by jejunal perforation. The case was unusual, as this affliction habitually involves the terminal ileum, appendix, cecum or ascending colon. The disease is caused by the nematode Angiostrongylus costaricensis, whose definitive hosts are forest rodents while snails and slugs are its intermediate hosts. Infection in humans is accidental and occurs via the ingestion of snail or slug mucoid secretions found on vegetables, or by direct contact with the mucus. Abdominal angiostrongyliasis is clinically characterized by prolonged fever, anorexia, abdominal pain in the right-lower quadrant, and peripheral blood eosinophilia. Although usually of a benign nature, its course may evolve to more complicated forms such as intestinal obstruction or perforation likely to require a surgical approach. Currently, no efficient medication for the treatment of abdominal angiostrongyliasis is known to be available. In this study, the authors provide a review on the subject, considering its etiopathogeny, clinical picture, diagnosis and treatment.
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Instituto de Medicina Tropical de São Paulo
1999
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oai:scielo:S0036-466519990005000101999-12-17Jejunal perforation caused by abdominal angiostrongyliasisWAISBERG,JaquesCORSI,Carlos EduardoREBELO,Marisa ValenteVIEIRA,Vilma Therezinha TrenchBROMBERG,Sansom HenriqueSANTOS,Paulo Amaral dosMONTEIRO,Rodrigo Angiostrongylus Intestinal diseases Parasitic infection Intestinal perforation The authors describe a case of abdominal angiostrongyliasis in an adult patient presenting acute abdominal pain caused by jejunal perforation. The case was unusual, as this affliction habitually involves the terminal ileum, appendix, cecum or ascending colon. The disease is caused by the nematode Angiostrongylus costaricensis, whose definitive hosts are forest rodents while snails and slugs are its intermediate hosts. Infection in humans is accidental and occurs via the ingestion of snail or slug mucoid secretions found on vegetables, or by direct contact with the mucus. Abdominal angiostrongyliasis is clinically characterized by prolonged fever, anorexia, abdominal pain in the right-lower quadrant, and peripheral blood eosinophilia. Although usually of a benign nature, its course may evolve to more complicated forms such as intestinal obstruction or perforation likely to require a surgical approach. Currently, no efficient medication for the treatment of abdominal angiostrongyliasis is known to be available. In this study, the authors provide a review on the subject, considering its etiopathogeny, clinical picture, diagnosis and treatment.info:eu-repo/semantics/openAccessInstituto de Medicina Tropical de São PauloRevista do Instituto de Medicina Tropical de São Paulo v.41 n.5 19991999-09-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651999000500010en10.1590/S0036-46651999000500010 |
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WAISBERG,Jaques CORSI,Carlos Eduardo REBELO,Marisa Valente VIEIRA,Vilma Therezinha Trench BROMBERG,Sansom Henrique SANTOS,Paulo Amaral dos MONTEIRO,Rodrigo |
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WAISBERG,Jaques CORSI,Carlos Eduardo REBELO,Marisa Valente VIEIRA,Vilma Therezinha Trench BROMBERG,Sansom Henrique SANTOS,Paulo Amaral dos MONTEIRO,Rodrigo Jejunal perforation caused by abdominal angiostrongyliasis |
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WAISBERG,Jaques CORSI,Carlos Eduardo REBELO,Marisa Valente VIEIRA,Vilma Therezinha Trench BROMBERG,Sansom Henrique SANTOS,Paulo Amaral dos MONTEIRO,Rodrigo |
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WAISBERG,Jaques |
title |
Jejunal perforation caused by abdominal angiostrongyliasis |
title_short |
Jejunal perforation caused by abdominal angiostrongyliasis |
title_full |
Jejunal perforation caused by abdominal angiostrongyliasis |
title_fullStr |
Jejunal perforation caused by abdominal angiostrongyliasis |
title_full_unstemmed |
Jejunal perforation caused by abdominal angiostrongyliasis |
title_sort |
jejunal perforation caused by abdominal angiostrongyliasis |
description |
The authors describe a case of abdominal angiostrongyliasis in an adult patient presenting acute abdominal pain caused by jejunal perforation. The case was unusual, as this affliction habitually involves the terminal ileum, appendix, cecum or ascending colon. The disease is caused by the nematode Angiostrongylus costaricensis, whose definitive hosts are forest rodents while snails and slugs are its intermediate hosts. Infection in humans is accidental and occurs via the ingestion of snail or slug mucoid secretions found on vegetables, or by direct contact with the mucus. Abdominal angiostrongyliasis is clinically characterized by prolonged fever, anorexia, abdominal pain in the right-lower quadrant, and peripheral blood eosinophilia. Although usually of a benign nature, its course may evolve to more complicated forms such as intestinal obstruction or perforation likely to require a surgical approach. Currently, no efficient medication for the treatment of abdominal angiostrongyliasis is known to be available. In this study, the authors provide a review on the subject, considering its etiopathogeny, clinical picture, diagnosis and treatment. |
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Instituto de Medicina Tropical de São Paulo |
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1999 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651999000500010 |
work_keys_str_mv |
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