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Helminth infestation complicating diabetic ketoacidosis
  1. James Church,
  2. Ranjev Kainth,
  3. Paramita Cifelli
  1. Department of Paediatrics, Whipps Cross University Hospital, Barts Health NHS Trust, London, UK
  1. Correspondence to Dr James Church, Department of Paediatrics, Whipps Cross University Hospital, Barts Health NHS Trust, London, UK; j.church{at}qmul.ac.uk

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A 15-year-old girl of Somali origin, previously diagnosed with type 1 diabetes, resident in the UK for one month, presented with a 2-day history of vomiting, with biochemical investigations suggestive of diabetic ketoacidosis. Despite prompt correction of her ketoacidosis, her nausea persisted with associated self-induced vomiting. On further questioning she described a crawling sensation in her chest. 24 h after admission, she vomited a 17 cm live, round worm (Ascaris lumbrocoides …

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