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KMID : 0191120100250121802
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Journal of Korean Medical Science
2010 Volume.25 No. 12 p.1802 ~ p.1804
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A Case of Severe Anemia by Necator americanus Infection in Korea
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Hyun Hee-Jae
Kim Eun-Min
Park So-Yeon
Jung Jun-Oh
Chai Jong-Yil
Hong Sung-Tae
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Abstract
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This report describes clinical and parasitological findings of an 82-yr-old female patient who lived in a local rural village and suffered from severe chronic anemia for several years. She was transferred to the National Police Hospital in Seoul for management of severe dyspnea and dizziness. At admission, she showed symptoms or signs of severe anemia. Gastroduodenoscopy observed hyperemic mucosa of the duodenum and discovered numerous moving roundworms on the mucosa. Endoscopy isolated seven of them, which were identified as Necator americanus by characteristic morphology of cutting plates in the buccal cavity. The patient was treated with albendazole and supportive measures for anemia, and her physical condition much improved. This case suggests the possibility that hookworm N. americanus is still transmitted in a remote local mountainous area in Korea.
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KEYWORD
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Necator americanus, Anemia, Hypochromic
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