Hookworm Infection Caused Acute Intestinal Bleeding Diagnosed by Capsule: A Case Report and Literature Review

被引：11

作者：

Tan, Xia ^{[1
]}

Cheng, Meichu ^{[1
]}

Zhang, Jie ^{[2
]}

Chen, Guochun ^{[1
]}

Liu, Di ^{[1
]}

Liu, Yexin ^{[1
]}

Liu, Hong ^{[1
]}

机构：

[1] Cent S Univ, Xiangya Hosp 2, Renal Res Inst, Dept Nephrol,Key Lab Kidney Dis & Blood Purificat, Changsha 410011, Hunan, Peoples R China

[2] Cent S Univ, Xiangya Hosp 2, Renal Res Inst, Dept Gastroenterol,Key Lab Kidney Dis & Blood Pur, Changsha 410011, Hunan, Peoples R China

来源：

KOREAN JOURNAL OF PARASITOLOGY | 2017年 / 55卷 / 04期

基金：

中国国家自然科学基金;

关键词：

Ancylostoma duodenale; Necator americanus; hookworm; acute intestinal bleeding; capsule endoscopy; nephrotic syndrome; pulmonary embolism; ENDOSCOPIC DIAGNOSIS; ANEMIA;

D O I：

10.3347/kjp.2017.55.4.417

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ; 100103 ;

摘要：

Hookworm infections are rare causes of acute gastrointestinal bleeding. We report a middle aged man with primary nephrotic syndrome and pulmonary embolism. During the treatment with steroids and anticoagulants, the patient presented acute massive hemorrhage of the gastrointestinal tract. The results of gastroscopy showed red worms in the duodenum. Colonoscopy and CT angiogram of abdomen were unremarkable. Capsule endoscopy revealed fresh blood and multiple hookworms in the jejunum and ileum. Hookworms caused the acute intestinal bleeding. The patient responded well to albendazole. Hematochezia was markedly ameliorated after eliminating the parasites. Hence, hookworm infection should be considered in the differential diagnosis of a patient with obscure gastrointestinal bleeding. Capsule endoscopy may offer a better means of diagnosis for intestinal hookworm infections.

引用

页码：417 / 420

页数：4

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