一例钩虫感染重度缺铁性贫血病例诊断分析

doi:10.19485/j.cnki.issn2096-5087.2022.11.019

Preventive Medicine

2022, Vol. 34

Issue (11): 1178-1180,1186 DOI: 10.19485/j.cnki.issn2096-5087.2022.11.019

Disease Control

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Diagnosis of a case with severe iron-deficiency anemia caused by hookworm infections

HU Haiyan¹, CUI Qingrong¹, YU Li², LUO Saifei¹, GE Junhua¹, QIU Danhong²

1. Department of Laboratory Medicine, Tiantai Center for Disease Control and Prevention, Tiantai, Zhejiang 317200, China;
2. Tiantai County People's Hospital, Tiantai, Zhejiang 317200, China;
3. Taizhou Center for Disease Control and Prevention, Taizhou, Zhejiang 318000, China

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Abstract On April 25, 2021, a case with hookworm infections was identified during the surveillance of soil-borne nematodiasis by Tiantai Center for Disease Control and Prevention, Taizhou City, Zhejiang Province. The patients was admitted to a county people's hospital due to dizziness and limb weakness on July 24, 2020. Laboratory tests showed 2.5×10¹²/L red blood cell counts, 45 g/L hemoglobin, 3.4% eosinophil percentage, 4.7 μmol/L serum iron and <1 μg/L ferritin, and severe iron-deficiency anemia was initially diagnosed. Following treatment with blood transfusion and ion supplement, subsequent three routine blood tests indicated elevated eosinophil percentages. On April 25, 2021, hookworm eggs were detected in stool samples using Kate-Katz technique, and Necator americanus was identified with the test-tube filter-paper culture method. Severe iron-deficiency anemia caused by hookworm infections was diagnosed based on field epidemiological surveys and laboratory tests. The health education pertaining to parasitic disease control knowledge among residents and the diagnosis and treatment of parasitic diseases in medical institutions are recommended to be improved in rural areas to avoid misdiagnosis and missing diagnosis.

Key words： hookworm disease iron-deficiency anemia rural area

Received: 11 July 2022 Revised: 27 August 2022 Published: 16 November 2022

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	HU Haiyan
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	YU Li
	LUO Saifei
	GE Junhua
	QIU Danhong

Cite this article:

HU Haiyan,CUI Qingrong,YU Li, et al. Diagnosis of a case with severe iron-deficiency anemia caused by hookworm infections[J]. Preventive Medicine, 2022, 34(11): 1178-1180,1186.

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http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2022.11.019 OR http://www.zjyfyxzz.com/EN/Y2022/V34/I11/1178

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