HELMENTHIC INFESTATION PRESENTING AS CHOLECYSTITIS
Abstract
Helminthic infestation is a common health problem in our country. Its prevalence depends onclimate, socio-economic, unhygienic conditions and basic health education. Several surveys
regarding the incidence of worm infestation in various countries of the world are available. In
Bangladesh slum, over 80% of the population have one or more parasites.1 In some parts of India,
Ascaris infection has been reported upto 95%.2 In Pakistan the prevalence of parasites in diarrheal
disease was found to be 71%, with a high rate of Giardia lambilia.3
Many of the worms have been associated with malnutrition. Beside malnutrition a variety of
other problems have been reported as a result of worm infestation. These include recurrent diarrhoea
and vomiting, malabsorption, appendicitis, respiratory infections, intestinal obstruction and
hepatomegaly.
We present two case reports which were admitted for obstructive jaundice and after
investigation they were diagnosed as infestation by Ascaris lambricoides obstructing bill duct.
References
Khan MU, Shahidullah M, Barua Dk, Begum T. Efficacy of periodic deworming in an urban slum
population for parasite control. Ind J. Med Res 1986; 83: 82-8
Elkins DB, Haswell-Elkins M, Anderson R.M., The epidemiology and control of intestinal helminths
in the pulicat Lake region of Southern India. Trans R. Soc Trop Med Hyg 1986;80 (5): 774-92.
Baqai R, Suberi Sj. Prevalence of intestinal parasites in diarrhoeal patients. J Pak Med Assoc 1986;
: 7-11.
S.H. Shah, M.A, Khaiq and F. Subhani. Helminthic infestation in Hazara Division. JPMA Jan. 1986;
- 13.
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