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Journal of Tropical Pediatrics Advance Access published online on June 5, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp044
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Hypokalemic Paralysis Following Severe Vomiting in a Child with Intestinal Obstruction Due to Round Worms

Leena Nagotkar, Preeti Shanbag and Prithi Shenoy

Pediatric Intensive Care Unit, Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai 400022, India

Correspondence: Preeti Shanbag, 801, Yashowan, T. H. Kataria Marg, Mahim, Mumbai 400016, India. Tel.: 91 22 24440368; Fax: 91 22 24086150; E-mail: <pshanbag{at}gmail.com>


  Abstract

Ascariasis is one of the most common helminthic infestations in humans. Massive infestation can give rise to serious complications such as intestinal obstruction. We present a 4-year-old boy, who presented with acute flaccid quadriparesis due to the hypokalemic alkalosis induced by severe vomiting. Severe vomiting was due to intestinal obstruction caused by round worms.

Key Words: round worm infestation • intestinal obstruction • hypokalemia • acute paralysis


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