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Miscellanea
Images in paediatrics
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

https://doi.org/10.1136/archdischild-2013-304583

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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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    Footnotes

    • Contributors JC and RK are joint first authors of this paper. Both authors contributed equally towards editing the manuscript. JC and RK were involved in conception and design of the manuscript. JC performed the literature search and wrote the article. RK was responsible for images of the helminth. Clinical management was overseen by PC.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.