Diagnosis of a case with severe iron-deficiency anemia caused by hookworm infections
10.19485/j.cnki.issn2096-5087.2022.11.019
- Author:
Haiyan HU
;
Qingrong CUI
;
Li YU
;
Saifei LUO
;
Junhua GE
;
Danhong QIU
- Publication Type:Journal Article
- Keywords:
hookworm disease； iron-deficiency anemia；rural area
- From:
Journal of Preventive Medicine
2022;34(11):1178-1180
- CountryChina
- Language:Chinese
-
Abstract:
Abstract:On April 25, 2021, a case with hookworm infections was identified during the surveillance of soil-borne nematodiasis by Tiantai Center for Disease Control and Prevention, Taizhou City, Zhejiang Province. The patients was admitted to a county people's hospital due to dizziness and limb weakness on July 24, 2020. Laboratory tests showed 2.5×1012/L red blood cell counts, 45 g/L hemoglobin, 3.4% eosinophil percentage, 4.7 μmol/L serum iron and <1 μg/L ferritin, and severe iron-deficiency anemia was initially diagnosed. Following treatment with blood transfusion and ion supplement, subsequent three routine blood tests indicated elevated eosinophil percentages. On April 25, 2021, hookworm eggs were detected in stool samples using Kate-Katz technique, and Necator americanus was identified with the test-tube filter-paper culture method. Severe iron-deficiency anemia caused by hookworm infections was diagnosed based on field epidemiological surveys and laboratory tests. The health education pertaining to parasitic disease control knowledge among residents and the diagnosis and treatment of parasitic diseases in medical institutions are recommended to be improved in rural areas to avoid misdiagnosis and missing diagnosis.
- Full text:一例钩虫感染重度缺铁性贫血病例诊断分析.pdf
