title: Acute airway obstruction by Ascaris lumbricoides in a 14-month-old boy.
abstract: We describe the case of a 14-month-old child with airway obstruction caused by a mature Ascaris lumbricoides worm. The child had been admitted to the paediatric intensive care unit due to overwhelming sepsis, and during the course of his illness developed acute airway obstruction that resolved once the worm was removed from the airway. The Ascaris life-cycle is detailed, and a literature review of patients with airway obstruction due to Ascaris worms is presented.
authors.affiliation: Ear, Nose & Throat Department, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Rd, Nottingham NG7 2UH, UK. Electronic address: richardwcgan@gmail.com.
authors.forename: Richard Wei Chern
authors.initials: RW
authors.lastname: Gan
authors.affiliation: Ear, Nose & Throat Department, Nottingham University Hospitals NHS Trust, UK.
authors.forename: Rohit
authors.initials: R
authors.lastname: Gohil
authors.affiliation: Biomaterials-Related Infection Group, Orthopaedic & Accident Surgery, The University of Nottingham, UK.
authors.forename: Katherine
authors.initials: K
authors.lastname: Belfield
authors.affiliation: Paediatric Intensive Care Department, Nottingham University Hospitals NHS Trust, UK.
authors.forename: Patrick
authors.initials: P
authors.lastname: Davies
authors.affiliation: Ear, Nose & Throat Department, Nottingham University Hospitals NHS Trust, UK.
authors.forename: Matija
authors.initials: M
authors.lastname: Daniel
mesh_terms: D000402:Airway Obstruction / Q000209:etiology*; D000818:Animals; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D000969:Antinematodal Agents / Q000627:therapeutic use*; D001196:Ascariasis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D017164:Ascaris lumbricoides / Q000187:drug effects / Q000302:isolation & purification*; D003907:Dexamethasone / Q000627:therapeutic use*; D006760:Hospitalization; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use*
chemical_list: D000893:Anti-Inflammatory Agents; D000969:Antinematodal Agents; D003907:Dexamethasone; D008463:Mebendazole
keywords: Airway obstruction; Ascariasis; Ascaris lumbricoides; Child; Eosinophilia; Eosinophilic pneumonia