{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:33Z","timestamp":1753877073702,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title\/>\n                  <jats:p>Mass deworming against soil-transmitted helminthiasis, including Ascaris lumbricoides (AL), is one of the largest public health interventions in low- and middle-income countries. The prevalence of A. lumbricoides in Tanzania is 6.8%. We present a 3-year-old male of a known Tanzanian nomadic tribe (Masaai tribe) with history of missed deworming, who was brought to the emergency department with a 3-day history of constipation, nonprojectile, bilious vomiting, generalized abdominal distension and pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title\/>\n                  <jats:p>He was diagnosed with intestinal obstruction by the use of a plain abdominal X-ray, which revealed marked gaseous distension of the stomach and bowels without significant air-fluid levels. He was initially treated with intravenous ceftriaxone 50\u00a0mg\/kg, metronidazole 15\u00a0mg\/kg and acetaminophen 15\u00a0mg\/kg. An explorative laparotomy was then performed. Intraoperative findings demonstrated a dense collection of A. lumbricoides worms in the gangrenous proximal jejunum and duodenum. Thorough abdominal lavage was carried out and abdomen was closed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jscr\/rjaa096","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T19:14:14Z","timestamp":1585595654000},"source":"Crossref","is-referenced-by-count":1,"title":["Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6304-5343","authenticated-orcid":false,"given":"Jeremia J","family":"Pyuza","sequence":"first","affiliation":[{"name":"Department of pathology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice A","family":"Andongolile","sequence":"first","affiliation":[{"name":"Kilimanjaro Clinical research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christain E","family":"Issangya","sequence":"first","affiliation":[{"name":"Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Msuya","sequence":"first","affiliation":[{"name":"Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J","family":"Yahaya","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, College of Health Sciences, The University of Dodoma, Dodoma, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elichilia R","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex R","family":"Mremi","sequence":"first","affiliation":[{"name":"Department of pathology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"2020052702295035700_ref1","doi-asserted-by":"publisher","first-page":"e1511","DOI":"10.1016\/S2214-109X(19)30413-9","article-title":"State of deworming coverage and equity in low-income and middle-income countries using household health surveys: a spatiotemporal cross-sectional study","volume":"7","author":"Nathan","year":"2019","journal-title":"Lancet Global Health"},{"key":"2020052702295035700_ref2","doi-asserted-by":"publisher","first-page":"262","DOI":"10.4172\/2155-9597.1000262","article-title":"Intestinal obstruction by Ascaris lumbricoides in a 12-year-old boy: a case report in Pakistan","volume":"7","author":"Wali","year":"2016","journal-title":"J Bacteriol Parasitol"},{"key":"2020052702295035700_ref3","doi-asserted-by":"publisher","first-page":"e0005565","DOI":"10.1371\/journal.pntd.0005565","article-title":"An environmental assessment and risk map of Ascaris lumbricoides and Necator americanus distributions in Manufahi district, Timor-Leste","volume":"11","author":"Wardell","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"key":"2020052702295035700_ref4","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/1756-3305-7-37","article-title":"Global numbers of infection and disease burden of soil transmitted helminth infections in 2010","volume":"7","author":"Pullan","year":"2014","journal-title":"Parasites Vectors"},{"key":"2020052702295035700_ref5","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.26719\/2013.19.12.1035","article-title":"Ascaris lumbricoides causing acute abdomen: a case report","volume":"19","author":"Abdellatif","year":"2013","journal-title":"East Mediterr Health J"},{"key":"2020052702295035700_ref6","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1186\/s13256-019-2103-y","article-title":"Small bowel obstruction complicating an Ascaris lumbricoides infestation in a 4-year-old male: a case report","volume":"13","author":"Mbanga","year":"2019","journal-title":"J Med Case Reports"},{"volume-title":"Guideline: Preventive Chemotherapy to Control Soil-Transmitted Helminth Infections in at-Risk Population Groups","year":"2017","author":"WHO","key":"2020052702295035700_ref7"},{"key":"2020052702295035700_ref8","doi-asserted-by":"publisher","first-page":"e0006296","DOI":"10.1371\/journal.pntd.0006296","article-title":"Review of the 2017 WHO guideline: preventive chemotherapy to control soil-transmitted helminth infections in at risk population groups. 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