Armillifer armillatus infection

Jisieike-Onuigbo, Nonyelum Nnenna; Odenigbo, CU; Kalu, OA; Eze, KC

doi:10.4103/1119-3077.91767

Cited by 13 publications

(22 citation statements)

References 6 publications

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“…Computed tomograpic scans and conventional radiographs of the first two patients revealed extensive crescentic calcific lesions in the lungs, peritoneum and liver, with highest concentration in the right hypochondrial regions which is consistent with the findings of earlier authors [ 14 , 16 ]. These radiological features are diagnostic and pathognomonic of Armillifer infestation [ 14 , 16 , 19 ]. Some patients with pentastosomiasis may have deranged liver function test parameters.…”

Section: Discussionmentioning

confidence: 99%

“…This may be due to high residual functional capability of the liver as documented by other authors [ 20 ]. Liver biopsy is required as complementary investigation tool necessary to diagnose Pentastosomiasis [ 16 , 19 ], but our patients did not consent to it.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of Armillifer armillatus infestation is usually conservative, as the majority of the cases are asymptomatic [ 16 , 19 ]. Few patients that are symptomatic may require surgical intervention, especially those that present with intestinal obstruction or perforation [ 19 ]. Since our patients were not symptomatic, let alone acute abdominal condition that could warrant surgical intervention, there was no need for surgical management in any of them.…”

Section: Discussionmentioning

confidence: 99%

“…Since our patients were not symptomatic, let alone acute abdominal condition that could warrant surgical intervention, there was no need for surgical management in any of them. No established anti-parasitic chemotherapy is available for pentastomiasis; however, Mebendazole has been suggested for those with mild to moderate infestation [ 19 ]. Our patients were treated with Mebendazole, and the second patient also had a full course of ciprofloxacin for the cough he presented with.…”

Section: Discussionmentioning

confidence: 99%

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Armillifer armillatus infestation in Human; public health scenario of a snake parasite: a report of three cases

Aiyekomogbon¹,

Meseko²,

Abiodun³

2016

Pan Afr Med J

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We report cases of Armillifer Armillatus infestation in three Nigerian adults within two and half years in our health facility. The first patient was a 70 year old farmer and a regular consumer of snake meat for over 50 years. He presented in February, 2014 for follow-up visit as he was a known systemic hypertensive patient. He was incidentally discovered to have multiple comma-shaped calcific lesions in the lungs and liver on a chest radiograph. These were better demonstrated on abdominal ultrasound and computed tomographic scans. He was asymptomatic. The second patient was a 42 year old male civil servant who presented in December 2015 with dry cough and right loin pain for five and three days respectively. His past medical history revealed that he had been treated previously for pneumonia. He has never eaten snake meat but consumed Alligator (Amphibious reptile) for many years but stopped about 12 years ago. Similar calcific lesions were also noted in his liver and lung parenchyma on chest radiograph and abdominal ultrasound scan. The third patient was an 80 year old man who presented in April, 2014 with dizziness and diminished urine output of one day duration. He was a farmer who has been consuming snake meat for many years, and has been on management for systemic arterial hypertension and prostatic hypertrophy. Chest radiograph and abdomino-pelvic ultrasound incidentally revealed multiple comma-shaped calcific lesions in the lungs and liver. The liver function test parameters were all within normal limits but the electrolytes were deranged and he was anaemic with a Packed Cell Volume of 27%. A diagnosis of Armillifer Armillatus infestation was made in these patients, and they were conservatively managed with Mebendazole. The third case was catherized and the deranged electrolytes were corrected. The first patient was lost to follow-up, whiles the second and third had no remarkable symptoms on subsequent follow-up visits.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Armillifer armillatus infestation in Human; public health scenario of a snake parasite: a report of three cases

Aiyekomogbon¹,

Meseko²,

Abiodun³

2016

Pan Afr Med J

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“…Infection is caused by intake of contaminated water sources, vegetation, raw meat of infected intermediate hosts, or close contact with secretion of infected dogs or livestock [ 2 , 6 , 7 ]. Pentastomes commonly infect the respiratory system, and human soft tissue infections have been noticed at the lung [ 8 , 9 ], nasal cavity [ 10 – 12 ], eye [ 13 – 15 ], oropharynx [ 4 , 16 ], and other viscera [ 3 , 5 , 6 , 17 , 18 ]. Unlike soft tissue infection, intraosseous pentastomiasis has not been reported yet.…”

Section: Introductionmentioning

confidence: 99%

A Case of Pentastomiasis at the Left Maxilla Bone in a Patient with Thyroid Cancer

Cho

Jung

et al. 2017

Korean J Parasitol

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Pentastomiasis, a zoonotic parasite infection, is typically found in the respiratory tract and viscera of the host, including humans. Here, we report for the first time an extremely rare case of intraosseous pentastomiasis in the human maxilla suffering from medication related osteonecrosis of the jaw (MRONJ). A 55-year-old male had continuously visited the hospital for MRONJ which had primarily developed after bisphosphonate and anti-neoplastic administration for previous bone metastasis of medullary thyroid cancer. Pain, bone exposure, and pus discharge in the right mandible and left maxilla were seen. Osteolysis with maxillary cortical bone perforation at the left buccal vestibule, palate, nasal cavity, and maxillary sinus was observed by radiologic images. A biopsy was done at the left maxilla and through pathological evaluation, a parasite with features of pentastome was revealed within the necrotic bone tissue. Further history taking and laboratory evaluation was done. The parasite was suspected to be infected through maxillary open wounds caused by MRONJ. Awareness of intraosseous pentastomiasis should be emphasized not to be missed behind the MRONJ. Proper evaluation and interpretation for past medical history may lead to correct differential diagnosis and therapeutic intervention for parasite infections.

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