Hookworm infestation as a rare cause of melaena in tropics: A case report.

Trop Doct

Assistant Professor, Department of Surgical Gastroenterology, Birat Medical College Teaching Hospital, Biratnagar, Nepal.

Published: April 2024

AI Article Synopsis

  • Melaena from hookworm infestation is uncommon and typically causes iron-deficiency anemia from gradual blood loss.
  • A 45-year-old man experienced intermittent melena for a year, necessitating several blood transfusions, but initial endoscopies showed no issues.
  • The hookworm was finally found in the duodenum during a repeat endoscopy, and treatment with albendazole successfully resolved the problem.

Article Abstract

Melaena due to hookworm infestation is a rare clinical presentation. It usually presents with symptoms of iron-deficiency anaemia owing to slow blood loss. Here we present a case of 45-year male who presented with a one-year history of intermittent melena requiring multiple blood transfusions. Preliminary endoscopies at different centres were normal. The presence of hookworm in the duodenum was only detected on repeat upper endoscopy as the cause of blood loss, and treatment with albendazole was successful in curing the patient.

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Source
http://dx.doi.org/10.1177/00494755231226356DOI Listing

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