Boy, 4, has dozens of worms removed from intestines after complaints of pain, vomiting

A 4-year-old boy with a historic previous of stomach ache, vomiting, and stomach distention lastly landed on the working desk the place surgeons manually removed dozens of worms that had been residing in his intestines. The boy, who was not named inside the case report, nevertheless, was talked about to dwell in northwest Cameroon, had no historic previous of deworming since supply, which is commonly a normal observe in that space.

The boy’s case was revealed inside the Journal of Medical Case Reports on May 24, the place surgeons well-known an intestinal blockage attributable to a worm infestation.

“Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noticed in children aged 2-10 years,” the authors wrote inside the Journal of Medical Case Reports, which was revealed May 24. “Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development, as well as intestinal obstruction.”


Upon examination, the boy’s docs acknowledged a small bowel obstruction, which prompted them to make a 0.8-inch reducer. Surgeons then removed “bundles of Ascaris lumbricoides worms” manually and “by milking through the stoma.”

An estimated 807 million to 1.2 billion of us on this planet are contaminated with Ascaris lumbricoides, which can be parasitic worms known as soil-transmitted helminths, consistent with the Centers for Disease Control and Prevention (CDC). The parasites dwell inside the intestine and eggs are handed inside the feces of contaminated of us. If a contaminated specific individual defecates exterior, or if the feces of a contaminated specific individual are utilized in fertilizer, eggs are deposited on the soil. The eggs can then mature properly into a kind of the parasite that is infective.


Infection can occur when fingers or fingers which have contaminated filth on them are put inside the mouth, or by consuming greens or fruits that have not been fastidiously cooked, washed or peeled, consistent with the CDC. Heavy infections set off intestinal blockage and will impair progress in youngsters. Other indicators would possibly present as a cough because of this of the migration of the worms by the physique. It could be dealt with medication, nevertheless, inside the boy’s case, surgeons decided to operate.

After the surgical process, docs dewormed the boy and his relations with an oral dose of mebendazole, and he was launched after seven days. One week later, surgeons recorded that his wounds had healed.

The authors are well-known that the boy’s case elements to a much bigger public well-being concern in Cameroon, the place deworming packages are affected by an absence of funding and entry in high-risk areas.

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