Respiratory Failure Associated with Ascariasis in a Patient with Immunodeficiency.
In industrialized countries, risk groups for parasitic diseases include travelers, recent immigrants, and patients with immunodeficiency following chemotherapy and radiotherapy and AIDS. A 66-year-old Polish male was admitted in December 2012 to the Department of Haematology in a fairly good general condition. On the basis of cytological, cytochemical, immunophenotypic, and cytogenetic analysis of bone marrow, the patient was diagnosed with acute myeloblastic leukemia. On the 7th day of hospitalization in the Department of Haematology, patient was moved to the Intensive Care Unit (ICU) due to acute respiratory and circulatory failure. In March 2013, 3 months after the onset of respiratory failures, a mature form of Ascaris spp. appeared in the patient's mouth. This report highlights the importance of considering an Ascaris infection in patients with low immunity presenting no eosinophilia but pulmonary failure in the central countries of Europe.
Department of Haematology and Transplantology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
Lanocha
L
Aleksandra
Department of Haematology and Transplantology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
Zdziarska
Z
Barbara
Department of Biology and Medical Parasitology, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Lanocha-Arendarczyk
LA
Natalia
Department of Biology and Medical Parasitology, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Kosik-Bogacka
KB
Danuta
Department of Haematology and Transplantology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
Guzicka-Kazimierczak
GK
Renata
Department of Anesthesiology and Intensive Care, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
Marzec-Lewenstein
ML
Ewa