Case of megaloblastic anemia caused by intestinal taeniasis

被引:25
作者
Vuylsteke, P
Bertrand, C
Verhoef, GEG
Vandenberghe, P
机构
[1] Univ Hosp Leuven, Hematol Unit, Dept Internal Med, B-3000 Louvain, Belgium
[2] Univ Hosp Leuven, Ctr Human Genet, B-3000 Louvain, Belgium
关键词
megaloblastic anemia; taeniasis;
D O I
10.1007/s00277-003-0839-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 61-year-old eutrophic male was diagnosed with vitamin B12 deficiency and megaloblastic anemia. A modified Schilling test suggested intestinal malabsorption unrelated to intrinsic factor deficiency. Subsequent colonoscopy revealed the presence of a Taenia tapeworm. The anemia resolved within days under therapy with niclosamide and temporary vitamin B12 supplements. The present case suggests that, in addition to other well-known parasitic agents, e.g., Diphyllobothrium latum and Giardia lamblia, Taenia infestation can also be a cause of intestinal vitamin B12 malabsorption.
引用
收藏
页码:487 / 488
页数:2
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