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Revista colombiana de Gastroenterología

Print version ISSN 0120-9957

Abstract

ROZO O, Edwar Jassir; VARGAS R, Ledmar Jovanny; JIMENEZ W, Jessica Paola  and  SZEMMELVEISZ N, Erika Tatiana. Ancylostomiasis: a rare cause of gastrointestinal bleeding and severe anemia. Rev Col Gastroenterol [online]. 2019, vol.34, n.3, pp.303-306. ISSN 0120-9957.  https://doi.org/10.22516/25007440.250.

Anemia is characterized by low levels of hemoglobin. In Colombia, anemia affects 27.7% of the population. The most seriously affected populations are preschool children, women of reproductive age, pregnant women and the elderly.

Clinical case:

Upon admission, the 58-year-old patient was found to have a condition compatible with cardiomegaly and redistribution of blood flow and required a blood transfusion. Additional studies suggested that digestive hemorrhaging due to ancylostomiasis could be the cause. Treatment with anthelmintics was begun and had good clinical and paraclinical results.

Discussion:

Acquisition of this parasite, considered to be a forgotten cause of digestive bleeding, is associated with multiple risk factors. In some cases, there are severe consequences such as cardiomegaly and redistribution of blood flow. The effectiveness of treatment with anthelmintics ranges between 62% and 92%.

Keywords : Ancylostomiasis; anemia; iron deficiency; helminths; intestinal parasitosis.

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