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Pivot Concepts:
Gene/Protein
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Target Concepts:
Gene/Protein
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Query: UMLS:C0403608 (
ureter
)
9,655
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The very rare occurrence of
ascariasis
of the kidney is reported in a 6-year-old boy from Cape Town, South Africa. He was acutely ill with pyonephrosis and passed adult Ascaris lumbricoides per urethra before having a nephrectomy. There was no evidence of a fistula between the intestines and the urinary system, and as the development of larvae into mature helminths within the renal system is not considered to be possible it is likely that mature worms gained entrance through the urethra. It appears that the worms obstructed the right
ureter
and caused hydronephrosis, pyonephrosis, and deposition of ova in renal tissue.
...
PMID:Ascariasis of the kidney. 859 47
In the United States, approximately 4 million people per year are infected with Ascaris lumbricoides. We reviewed the common presentations of complications of
Ascariasis
infection in the Emergency Department (ED) and the diagnostic tools and treatment available. This was a retrospective case review conducted on all patients diagnosed with
Ascariasis
(using ICD-9 codes) over a 6-year period at Los Angeles County and University of Southern California Medical Center. Three patients with distinct complications secondary to
Ascariasis
were chosen, and all ED and inpatient records were reviewed. The patient's age, sex, race, presenting symptoms, data, outcome, and ED course and diagnosis were recorded. The three cases included a periappendiceal abscess, Loeffler's syndrome, and biliary colic/choledocholithiasis. The first patient underwent a computed tomography-guided drainage of the abscess. The second patient received supportive care and antibiotic therapy secondary to a superimposed bacterial pneumonia. The third patient underwent endoscopic retrograde cholangiopancreatography with sphincterotomy. All three patients had a stool ova and parasites positive for A. lumbricoides, and all received a 3-day course of mebendazole. Symptomatic cases of
Ascariasis
may present to EDs in the United States. Important diagnostic tools for the ED include chest X-ray, X-ray of the kidney-
ureter
-bladder and ultrasonography. Single-dose medications given in the ED are very effective in eradicating A. lumbricoides infection, thus avoiding hospitalization.
...
PMID:Three common presentations of ascariasis infection in an urban Emergency Department. 1120 7
