22.6.16

its real!

an orang asli presented with jaundice, abdominal pain, and fever.

guess what?

if you do not take the social history properly, you cannot rule out ascariasis as the cause of her illness.

i ask her, she lives in kebun, perigi as the source of water and she does not have any toilet.
eating without properly wash her hand.


after ERCP, she was diagnosed with ascending cholangitis secondary to ascariasis!!! he eosinophils also elevated.

ok, case reported