title: Post Extubation Bronchospasm in an Undiagnosed Case of Ascariasis: Anaesthetic Challenges.
abstract: One of the most prevalent parasitic infestation is ascariasis which poses a great challenge to both the person being infested with and the treating medical team. We present here a case of round worm (Ascaris lumbricoides) infestation. A 40-year-old male, weighing 60 kg, diagnosed as perforation peritonitis, was scheduled for emergency exploratory laparotomy. The round worm was crawling out from duodenal perforation vent during laparotomy confirming the infestation. Patient later developed bronchospasm in post-extubation period and was managed accordingly. Surprisingly the patient expelled an adult worm in the next morning. This report highlights the importance of anticipating complications (i.e., airway obstruction, bronchospasm, etc.,) in an undiagnosed case of round worm infestation, especially if routine investigations were within normal limits.
authors.affiliation: Assistant Professor, Department of Anaesthesia, RNT Medical College , Udaipur, Rajasthan, India .
authors.forename: Ravindra
authors.initials: R
authors.lastname: Gehlot
authors.affiliation: Junior Registrar, Department of Anaesthesia, RNT Medical College , Udaipur, Rajasthan, India .
authors.forename: Shekhar Suman
authors.initials: SS
authors.lastname: Saxena
authors.affiliation: Professor, Department of Anaesthesia, RNT Medical College , Udaipur, Rajasthan, India .
authors.forename: Indira
authors.initials: I
authors.lastname: Kumari
authors.affiliation: Junior Registrar, Department of Anaesthesia, RNT Medical College , Udaipur, Rajasthan, India .
authors.forename: Virendra
authors.initials: V
authors.lastname: Verma
authors.affiliation: Junior Registrar, Department of Anaesthesia, RNT Medical College , Udaipur, Rajasthan, India .
authors.forename: Aditya
authors.initials: A
authors.lastname: Bidwaikar
keywords: Airway obstruction; Laparotomy; Round worm