Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Hookworm Anemia in a Peritoneal Dialysis Patient in China

  • Wu, Fuquan (Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University) ;
  • Xu, Ying (Kidney Disease Center, School of Medicine, The First Affiliated Hospital of Zhejiang University) ;
  • Xia, Min (Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University) ;
  • Ying, Guanghui (Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University) ;
  • Shou, Zhangfei (Kidney Disease Center, School of Medicine, The First Affiliated Hospital of Zhejiang University)
  • Received : 2016.01.11
  • Accepted : 2016.04.03
  • Published : 2016.06.30
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Abstract

Hookworm infections as well as other intestinal nematodiases are endemic in China. In this case, a 70-year-old male showed symptoms of chest tightness, shortness of breath, and both lower extremities edema. The diagnostic result was chronic renal insufficiency, chronic kidney disease (5th stage), and renal anemia at first. Then, he received treatment with traditional drugs. However, this treatment did not help to alleviate the symptoms of the patient significantly. The results of gastroendoscopy showed hookworms in the duodenum, also confirmed by pathology examination. Anemia was markedly ameliorated after eliminating the parasites. The results mentioned above suggested that ancylostomiasis was the leading causes of anemia in this patient, and the etiology of anemia in uremic patients should be systematically considered. Especially when anemia could not be cured by regular treatments, rare diseases should be investigated.

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References

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