Hookworm Infection Caused Acute Intestinal Bleeding Diagnosed by Capsule: A Case Report and Literature Review.
10.3347/kjp.2017.55.4.417
- Author:
Xia TAN
1
;
Meichu CHENG
;
Jie ZHANG
;
Guochun CHEN
;
Di LIU
;
Yexin LIU
;
Hong LIU
Author Information
1. Department of Nephrology, The Second Xiangya Hospital of Central South University, Renal Research Institute of Central South University, Key Laboratory of Kidney Disease and Blood Purification in Hunan, Changsha 410011, Hunan, P. R. China. liuh0618@163.com
- Publication Type:Case Report
- Keywords:
Ancylostoma duodenale;
Necator americanus;
hookworm;
acute intestinal bleeding;
capsule endoscopy;
nephrotic syndrome;
pulmonary embolism
- MeSH:
Abdomen;
Albendazole;
Ancylostoma;
Ancylostomatoidea*;
Anticoagulants;
Capsule Endoscopy;
Colonoscopy;
Diagnosis;
Diagnosis, Differential;
Duodenum;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Gastroscopy;
Hemorrhage*;
Hookworm Infections*;
Humans;
Ileum;
Jejunum;
Middle Aged;
Necator americanus;
Nephrotic Syndrome;
Parasites;
Pulmonary Embolism;
Steroids
- From:The Korean Journal of Parasitology
2017;55(4):417-420
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hookworm infections are rare causes of acute gastrointestinal bleeding. We report a middle aged man with primary nephrotic syndrome and pulmonary embolism. During the treatment with steroids and anticoagulants, the patient presented acute massive hemorrhage of the gastrointestinal tract. The results of gastroscopy showed red worms in the duodenum. Colonoscopy and CT angiogram of abdomen were unremarkable. Capsule endoscopy revealed fresh blood and multiple hookworms in the jejunum and ileum. Hookworms caused the acute intestinal bleeding. The patient responded well to albendazole. Hematochezia was markedly ameliorated after eliminating the parasites. Hence, hookworm infection should be considered in the differential diagnosis of a patient with obscure gastrointestinal bleeding. Capsule endoscopy may offer a better means of diagnosis for intestinal hookworm infections.
