Case series of paediatric patients of acute acalculous cholecystitis associated with severe malaria in endemic region over past 3 years at single center
DOI:
https://doi.org/10.18203/2349-3291.ijcp20220453Keywords:
AAC, Malaria, Falciparum, PaediatricAbstract
Although acute acalculous cholecystitis (AAC) is a rare occurrence in all age groups; its incidence in paediatric patients is 50-60%. Yet ACC in children with malarial parasitic infection is extremely rare with only 12 cases reported as per English literature. We report 7 children with severe malaria developing ACC in a single institute in India over past 3 years. They were managed conservatively under strict observation and recovered completely without any surgical intervention. At a mean follow up of 1.5 years they are asymptomatic with a normal ultrasound imaging.
References
Greer M, Shetty AK, Zeller KA. Acute Acalculous Cholecystitis due to Plasmodium falciparum. JPS Case Rep. 2020;56:101416.
Fox MS, Wilk PJ, FreemanLM, Gliedman ML. Acute Acalculous cholecystitis. Surg Gynecol obstet 1984 Jul: 159(1): 13-6
Barie PS, Eachempati Sr. Acute Acalculous Cholecystitis. Gastroenterol clin N Am 2010:39(2):343-57.
WHO. World Malaria Reports 2020. Available at: World malaria report 2020. Accessed on 14 January 2022
Poddighe D, Saznov V. Acute Acalculous Cholecystitis in children. World J Gastroenterol. 2018;24(43):4870-9.
Aguilera-Alonso D, Medina EML, Del Rosal T, Arrieta JV, Escosa-García L, Hortelano MG. Acalculous cholecystitis in a pediatric patient with Plasmodium falciparum infection: a case report and literature review. Pediatr Infect Dis J. 2018;37(2):e43-5.
Anthoine - Milhomme MC , Chappuy H , Chéron G . Acute acalculous cholecystitis in a child returning from the Ivory Coast . Pediatr Emerg Care. 2007;23(4):242-3.
Kumar A, Taksande AM, Vilhekar KY. Acalculous cholecystitis by P. falciparum in a 3-year-old child. J Vector Borne Dis. 2008;45:76-7.
Saha A, Batra P, Vilhekar KY, Ann CP. Acute acalculous cholecystitis in a child with Plasmodium falciparum malaria. Trop Paediatr. 2005;25(2):141-2.
Imamoglu M, Sarihan H, Sari A. Acute acalculous cholecystitis in children: diagnosis and treatment. J Pediatr Surg. 2002;37:36-9.
Yombi JC, Meuris CM, Van Gompel AM, Younes MB, Vandercam BC. Acalculous cholecystitis in a patient with Plasmodium falciparum infection: a case report and literature review. J Trav Med. 2006;13(3):178-80.
Schofer JM. Biliary causes of postcholecystectomy syndrome. J Emerg Med. 2010;39(4):406-10.
Poddighe D, Tresoldi M, Licari A, Marseglia GL. Acalculous Acute Cholecystitis in Previously Healthy Children: General Overview and Analysis of Pediatric Infectious Cases. Int J Hepatol. 2015;2015:459608.
Rijcken JM. Acute acalculous cholecystitis in children. East Cent Afr J Surg. 2000;5:31-4.
Lu YA, Chiu CH, Kong MS, Wang HI, Chao HC, Chen CC. Risk factors for poor outcomes of children with acute acalculous cholecystitis. Pediatr Neonatol. 2017;58:497-503.