PDF(Pubmed)
Abstract：
Hookworm infection is an important cause of iron deficiency anemia, especially in heavily infected high-risk populations residing in underdeveloped tropical countries. Stool examination is the main method used for hookworm diagnosis; however, its sensitivity is relatively low. Hookworm infections have been incidentally diagnosed during routine upper gastrointestinal endoscopies. We present the case of a 60-year-old Ethiopian farmer who had severe iron deficiency anemia and positive occult blood in the stool. Repeated stool examinations revealed no ova or parasites. Esophagogastroduodenoscopy revealed the presence of hookworms in the duodenum. The patient was treated with albendazole and ferrous sulfate. Careful endoscopic examination of the duodenum is crucial for identifying unsuspected hookworm infection responsible for chronic gastrointestinal bleeding and iron deficiency anemia.
摘要：
钩虫感染是缺铁性贫血的重要原因,特别是在居住在不发达热带国家的严重感染高危人群中。粪便检查是用于钩虫诊断的主要方法；然而，它的灵敏度相对较低。在常规的上消化道内窥镜检查中偶然诊断出钩虫感染。我们介绍了一名60岁的埃塞俄比亚农民的情况，他患有严重的缺铁性贫血和粪便中的隐血阳性。反复的粪便检查未发现卵或寄生虫。食管胃十二指肠镜检查显示十二指肠中存在钩虫。患者接受阿苯达唑和硫酸亚铁治疗。对十二指肠进行仔细的内镜检查对于确定引起慢性胃肠道出血和缺铁性贫血的意外钩虫感染至关重要。
