12, June 2019
Four-year-old has dozens of ‘writhing’ worms removed from intestines in Cameroon 0
A four-year-old boy with a history of stomach pain, vomiting and abdominal distension eventually landed on the operating table where surgeons manually removed dozens of “writhing” worms that had been living in his intestines.
The boy, who was not named in the case report but was said to live in Cameroon, West Africa, had no history of deworming since birth, which is typically a common practice in that region, Fox News reports.
The youngster’s mum had taken him to hospital after three days of stomach pain, vomiting and severe constipation.
He had also experienced bloating for around six months, according to an article published in the Journal of Medical Case Reports. After being admitted, doctors carried out a number of tests and diagnosed the boy with ascariasis — a parasitic worm infection in the small intestine.
Doctors manually removed dozens of worms living in the stomach of a four-year-old.
“Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noticed in children aged 2-10 years,” the authors wrote in the shocking article, which was published on May 24. “Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development as well as intestinal obstruction.”
Upon examination, the boy’s doctors recognised a small bowel obstruction, which prompted them to make a 2cm cut. Surgeons then removed “bundles of ascaris lumbricoides worms” manually and “by milking through the stoma”.
The boy was given nutrients to rehydrate him and administered with paracetamol intravenously before doctors could operate.
Three days after being admitted, surgeons discovered his bowels were blocked by a “mass of writhing worms”.
An estimated 807 million to 1.2 billion people in the world are infected with ascaris lumbricoides — parasitic worms known as soil-transmitted helminths, according to the Centers for Disease Control and Prevention (CDC). The parasites live in the intestine, and eggs are passed in the faeces of infected people. If an infected person defecates outside, or if the faeces of an infected person are used in fertiliser, eggs are deposited on the soil. The eggs can then mature into a form of the parasite that is infective.
The shocking find was recorded recently in the Journal of Medical Case Reports.
Infection can occur when hands or fingers that have contaminated dirt on them are put in the mouth or by consuming vegetables or fruits that have not been carefully cooked, washed or peeled, according to the CDC. Heavy infections cause intestinal blockage and may impair growth in children. Other symptoms may present as a cough due to the migration of the worms through the body. It can be treated with medication, but in the boy’s case, surgeons decided to operate.
After the surgery, doctors dewormed the boy and his family members with an oral dose of mebendazole, and he was released after seven days. One week later, surgeons recorded his wounds had healed.
The authors noted that the boy’s case points to a larger public health issue in Cameroon, where deworming programs are affected by lack of funding and access in high-risk areas.
Source: News.Com
























12, June 2019
Andre Onana tops Manchester United Shopping List 0
Manchester United have identified Ajax goalkeeper Andre Onana as their preferred successor for David de Gea this summer.
The Red Devils are expecting to lose the long-serving Spaniard this summer, who looks ready to move after failing to extend his contract which now has just 12 months left to run.
De Gea last month rejected United’s final contract offer to him, meaning the club will be left with little choice but to sell him off for the best price.
The club has been linked with Jasper Cillessen as a replacement, but with Barcelona seemingly looking to hold out for the player’s €60m asking price, a move for the Dutchman looks beyond what they’re willing to pay.
And if £54m is too much for Cillessen, that’s very much the case when it comes to Jan Oblak; the Atletico Madrid keeper once again emerging as a surprise option this week amid claims the €100m keeper wants out at the Wanda Metropolitano this summer.
As such, The Independent claims United have instead identified Cameroon keeper Onana as their No 1 choice – mainly due to the fact that they believe Ajax will do business at around £40m.
That will keep funds free for the club to spend more on rebuilding their defence, with Ole Gunnar Solskjaer identifying the need to sign a new right-back and possibly a new centre-half too.
Onana is set to be confirmed as Cameroon’s first-choice keeper for the upcoming African Cup of Nations and United are set to monitor his performances before making a move.
AND THE REST
Tottenham are set to make an improved transfer offer for Real Betis attacker Giovani Lo Celso – but the LaLiga side are determined to hold out for £65m – a club record for Spurs – for the Argentine (Daily Mirror)
Aaron Wan-Bissaka has told Crystal Palace he wants to make a dream move to Manchester United (Daily Mirror)
Arsenal are interested in Roma midfielder Lorenzo Pellegrini, who has a £27m buy-out clause in his contract, but face competition from Tottenham, AC Milan and Inter Milan for the Italy international (Daily Mirror)
Zinedine Zidane has won his transfer battle with Florentino Perez with Real Madrid set to move for Paul Pogba over Christian Eriksen (Daily Mirror)
Source: Talkteam.com