Husain Shahid Javed, Zubairi Ali Bin Sarwar, Sultan Nabeel, Beg Muhammad Asim, Mehraj Vikram
Aga Khan University, Medicine, Stadium Road, PO Box 3500, Karachi, Sindh, 74800, Pakistan.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.01.2009.1415. Epub 2009 Jun 11.
Ascaris lumbricoides (AL) is one of the most common helminthic infections of humans, affecting mainly children and malnourished individuals residing in developing countries. It is estimated the 25% of the world's population is infected with this nematode. Infection occurs via ingestion of water and food contaminated by Ascaris eggs, causing asymptomatic infection to disease with abdominal pain, vomiting, constipation and faecal passage of worms. The present report concerns an unusual case in which AL travelled retrograde and lodged in the vocal cords causing upper airway obstruction leading to asystolic cardiac arrest.
蛔虫是人类最常见的蠕虫感染之一,主要影响发展中国家的儿童和营养不良者。据估计,全球25%的人口感染了这种线虫。感染是通过摄入被蛔虫卵污染的水和食物而发生的,可导致无症状感染至出现腹痛、呕吐、便秘和粪便中排出蠕虫等疾病。本报告涉及一例罕见病例,蛔虫逆行并寄生于声带,导致上呼吸道梗阻,进而引发心脏停搏。