{"title":"Creeping through the sinuses-unusual intrusion of ascariasis in the nasal cavity of a young female: a case report.","authors":"Fariha Sahrish, Sahar Iqbal, Sara Masood Cheema, Saima Irum, Mehwish Niaz, Maira Jabbar Chaudhary","doi":"10.47391/JPMA.20350","DOIUrl":null,"url":null,"abstract":"<p><p>Ascaris lumbricoides, a prevalent nematode affecting humans, frequently infests the gastrointestinal tract but can also be seen in atypical locations such as the middle ear, nose, epiglottis, and maxillary sinuses. Herein, we present the case of a three-year-old baby girl from a rural background, managed at the Department of ENT, Chaudhary Mohammad Akram Teaching& Research Hospital, Lahore. She presented with 15-day history of unilateral nasal blockage and repugnant nasal discharge from the right nostril. A general physical examination showed a vague firm to hard swelling along the right lateral nasal wall, enlarged right maxillary sinus, and infraorbital region. Radiographic imaging confirmed a hazy right maxillary sinus. The nasal cavity contained mortified pale-yellow material, and creamy discharge from the maxillary ostium. Surgical exploration revealed no foreign bodies.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1271-1273"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pakistan Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.47391/JPMA.20350","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Ascaris lumbricoides, a prevalent nematode affecting humans, frequently infests the gastrointestinal tract but can also be seen in atypical locations such as the middle ear, nose, epiglottis, and maxillary sinuses. Herein, we present the case of a three-year-old baby girl from a rural background, managed at the Department of ENT, Chaudhary Mohammad Akram Teaching& Research Hospital, Lahore. She presented with 15-day history of unilateral nasal blockage and repugnant nasal discharge from the right nostril. A general physical examination showed a vague firm to hard swelling along the right lateral nasal wall, enlarged right maxillary sinus, and infraorbital region. Radiographic imaging confirmed a hazy right maxillary sinus. The nasal cavity contained mortified pale-yellow material, and creamy discharge from the maxillary ostium. Surgical exploration revealed no foreign bodies.
类蚓蛔虫是一种流行的影响人类的线虫，经常感染胃肠道，但也可以在非典型部位，如中耳、鼻子、会厌和上颌窦中看到。在此，我们报告一个来自农村背景的三岁女婴的病例，在拉合尔Chaudhary Mohammad Akram教学与研究医院耳鼻喉科进行管理。她有15天的单侧鼻塞病史，右鼻孔有恶心的鼻分泌物。一般体格检查显示沿右外侧鼻壁有模糊的硬至硬肿胀，右上颌窦和眶下区增大。x线影像证实右侧上颌窦模糊。鼻腔中有灰黄色的物质，上颌口有乳状分泌物。手术探查未发现异物。
期刊介绍：
Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.
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