2020, Number 1
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Rev Cubana Med Trop 2020; 72 (1)
Severe anemia in a young adult with hookworm infection
Arteaga-Livias K, Dámaso-Mata B, Rojas-García A, Rojas-Inga I, Panduro-Correa V, Rodríguez-Bravo P
Language: Spanish
References: 15
Page: 1-9
PDF size: 170.42 Kb.
ABSTRACT
Uncinariasis or ancylostomiasis, a.k.a. tropical anemia, is an intestinal parasitosis of great
importance worldwide. Hookworms are parasitic nematodes transmitted by skin contact
with contaminated soils. One of the most important consequences of massive infection by
these parasites is chronic intestinal bleeding, which leads to reduced hemoglobin. In unusual
cases the resulting anemia may be severe. With the purpose of discussing the importance
and morbidity of this disease, a case is presented of a male 23-year-old patient from a
tropical area in Peru who was admitted for an emergency hemoglobin value of 2.3 mg/dL,
altered mental status and a history of rectal bleeding. During diagnostic examination,
colonoscopy revealed multiple parasites with bleeding areas and erosive colitis, whereas
parasitological analysis found eggs of
Ancylostoma/Necator spp 2+. Symptoms improved
after treatment with albendazole. Uncinariasis should always be suspected in the process of
diagnosis of patients with chronic anemia both in Peru and in tropical areas worldwide.
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