A unique case-study of a 14-year-old boy published recently by Department of Gastroenterology, Sir Ganga Ram Hospital in Journal of Infectious Diseases and Therapy has revealed that hookworm manifestation, if not diagnosed timely,can not only lead to their multiplication but also lead to immenseblood loss and complications.
According to Dr Anil Arora, Chairperson, Department of Gastroenterology, Sir Ganga Ram Hospital , “A young boy of 14 years was referred to our centre about six months back with two episodes of passage of blood in stools. The child was suffering from iron deficiency anaemia for last two years. He was being managed with repeated blood transfusions and received 50 units (22 litres) of blood transfusions in last two years. His diagnosis could not be established in spite of various repeated tests including esophagogastroduodenoscopy (EGD), colonoscopy and radiographic studies of intestines done earlier and at our centre also which were normal. His hemoglobin was low at 5.86. “
Dr Arora further added, “In view of child’s obscure (unknown origin) gastrointestinal bleeding (OGIB), we conducted Capsule Endoscopy. (Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule you swallow. Image attached) . The results shocked us . We could see multiple hookworms buried in the small intestine and were seen actively sucking blood with dancing movements.
Sucked blood could be seen in the cavity of hookworms, giving the red colour to hookworms. White coloured hookworms who had not yet sucked blood were seen lying quiet in the small bowel. After treatment the child recovered and his haemoglobin increased to 11 gm/dl.”
“Conventionally hookworm infestation is found commonly in Asian population. Manifestation of hookworms can be prevented by avoiding barefoot walking and maintenance of food hygiene “ opined Dr Arora .
Anjali Nimesh Joined Medical Dialogue as Reporter in 2016. she covers all the medical specialty news in different medical categories. She also covers the Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in medical filed.
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