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Endoscopically diagnosed hookworm infestation in an adult with chronic iron deficiency anaemia

Authors :
Mohamed Mukhtar Abdirahman
Emmanuel Baruhanga
Andrew Muhumuza
Robert Wagubi
Raymond Atwine
Christine Tumuhimbise
Florence Tusiime
Caleb Tuhumwire
Boniface Amanee Elias Lumori
Source :
South Sudan Medical Journal, Vol 17, Iss 2, Pp 75-80 (2024)
Publication Year :
2024
Publisher :
Health and Social Sciences Research Institute - South Sudan (HSSRI-SS), 2024.

Abstract

Despite advances in hookworm control and prevention campaigns, the prevalence remains high in sub-Saharan Africa. Iron deficiency anaemia is a major complication in those with prolonged infection, a high hookworm burden, and undernutrition, though most infected people are asymptomatic. While infected patients are commonly diagnosed by the presence of ova or cysts in the stool, gastrointestinal (GI) endoscopy is required for those with negative stool tests and chronic iron deficiency anaemia. A 48-year-old female with symptoms of anaemia for nearly two years presented to Mbarara Regional Referral Hospital with worsening palpitations, easy fatigability, and dizziness over a period of one month. She was given blood transfusions on two occasions. She lives near the lake where she also gets water for drinking and domestic use. We advise GI endoscopy for all patients with chronic iron deficiency anaemia of unexplained aetiology on standard non-invasive testing. Hookworm’s mass empirical treatment policy in endemic areas should be further emphasised.

Details

Language :
English
ISSN :
23094605 and 23094613
Volume :
17
Issue :
2
Database :
Directory of Open Access Journals
Journal :
South Sudan Medical Journal
Publication Type :
Academic Journal
Accession number :
edsdoj.59985167a6844fb6a95abdbc02c94025
Document Type :
article
Full Text :
https://doi.org/10.4314/ssmj.v17i2.7