{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:58:11Z","timestamp":1790708291900,"version":"4.1.0"},"reference-count":17,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,29]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    A 2.5-year-old boy who had recently migrated from a northern highland area of Vietnam to the south presented with fever, diarrhea, progressive respiratory distress, and severe abdominal distension. He was referred in septic shock, requiring mechanical ventilation and two vasopressors. Emergency laparotomy revealed complete jejunoileal obstruction from a dense bolus of more than 100\n                    <jats:italic>Ascaris lumbricoides<\/jats:italic>\n                    worms and approximately 70 cm of transmural bowel necrosis. Segmental resection, complete worm extraction, and primary end-to-end anastomosis were performed. Histopathology confirmed transmural hemorrhagic infarction consistent with ischemic necrosis from mechanical obstruction. The child recovered after intensive care, antimicrobial treatment, transfusion support, and a single oral dose of albendazole after postoperative stabilization and return of oral intake; he was discharged on postoperative day 20 and remained well at 2 months when a second single dose of albendazole was administered. Massive ascariasis should remain a differential diagnosis in children with acute abdomen in endemic settings or after migration from endemic areas.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.26-0445","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:57:01Z","timestamp":1790704621000},"source":"Crossref","is-referenced-by-count":0,"title":["Massive Ascariasis Causing Extensive Jejunoileal Necrosis and Septic Shock in a Toddler"],"prefix":"10.4269","author":[{"given":"Nhan","family":"Vu Truong","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Nam Can Tho University, Can Tho City, Vietnam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nhan Pham","family":"Nguyen Hien","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital 2, Ho Chi Minh City, Vietnam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoang","family":"Tran Viet","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"issue":"4","key":"b1","series-title":"Pediatr Clin North Am","first-page":"867","article-title":"The global state of helminth control and elimination in children","volume":"64","author":"Weatherhead","year":"2017"},{"issue":"10117","key":"b2","series-title":"Lancet","first-page":"252","article-title":"Soil-transmitted helminth infections","volume":"391","author":"Jourdan","year":"2018"},{"key":"b3","series-title":"Parasit Vectors","first-page":"37","article-title":"Global numbers of infection and disease burden of soil-transmitted helminth infections in 2010","volume":"7","author":"Pullan","year":"2014"},{"issue":"3","key":"b4","series-title":"Medicine (Baltimore)","first-page":"e41120","article-title":"High prevalence of soil-transmitted helminths among primary students in Ha Giang, Vietnam: A descriptive cross-sectional study","volume":"104","author":"Nhu","year":"2025"},{"issue":"7","key":"b5","series-title":"Microbes Infect","first-page":"632","article-title":"Ascaris and ascariasis","volume":"13","author":"Dold","year":"2011"},{"issue":"3","key":"b6","series-title":"Gastroenterol Clin North Am","first-page":"553","article-title":"Ascariasis","volume":"25","author":"Khuroo","year":"1996"},{"key":"b7","series-title":"Int J Surg Case Rep","first-page":"107923","article-title":"Acute intestinal obstruction due to ascariasis in a child: A case report","volume":"104","author":"Sulmiati","year":"2023"},{"issue":"1","key":"b8","series-title":"J Med Case Rep","first-page":"171","article-title":"Intestinal obstruction due to Ascaris lumbricoides in child: A case report","volume":"19","author":"Supangat","year":"2025"},{"issue":"1","key":"b9","series-title":"J Med Case Rep","first-page":"56","article-title":"Small bowel obstruction due to ascariasis in a child from southern Ethiopia: A case report","volume":"19","author":"Liyew","year":"2025"},{"key":"b10","series-title":"J Pediatr Surg Case Rep","first-page":"102936","article-title":"Gangrenous small bowel volvulus due to ascariasis in a 9-year-old female: A case report","volume":"112","author":"Asfaw","year":"2025"},{"key":"b11","series-title":"J Pediatr Surg Case Rep","first-page":"102960","article-title":"Small bowel volvulus secondary to ascariasis in a 4-year-old boy: A case report","volume":"114","author":"Tesfaye","year":"2025"},{"issue":"1","key":"b12","series-title":"J Med Case Rep","first-page":"155","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"},{"issue":"1","key":"b13","series-title":"Trans R Soc Trop Med Hyg","first-page":"31","article-title":"Morbidity and mortality due to Ascaris-induced intestinal obstruction","volume":"91","author":"de Silva","year":"1997"},{"issue":"5","key":"b14","series-title":"Pathol Res Pract","first-page":"292","article-title":"Gangrene intestine caused by Ascaris lumbricoides: Report of 5 cases in children","volume":"206","author":"Kawatra","year":"2010"},{"issue":"16","key":"b15","series-title":"Medicine (Baltimore)","first-page":"e655","article-title":"Intestinal obstruction in a 3-year-old girl by Ascaris lumbricoides infestation: Case report and review of the literature","volume":"94","author":"Andrade","year":"2015"},{"issue":"4","key":"b16","series-title":"Curr Trop Med Rep","first-page":"189","article-title":"Human ascariasis: Diagnostics update","volume":"2","author":"Lamberton","year":"2015"},{"issue":"8","key":"b17","series-title":"Singapore Med J","first-page":"462","article-title":"Pictorial review of ascariasis in acute abdomen","volume":"66","author":"Koh","year":"2025"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.26-0445\/article-10.4269-ajtmh.26-0445.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/aop\/article-10.4269-ajtmh.26-0445\/article-10.4269-ajtmh.26-0445.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:57:02Z","timestamp":1790704622000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.26-0445\/article-10.4269-ajtmh.26-0445.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":17,"URL":"https:\/\/doi.org\/10.4269\/ajtmh.26-0445","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]}}}