Abstract:

This article reports a case of severe anemia caused by multiple parasitic parasites. The patient was admitted due to dizziness, fatigue, and sweating profusely. Laboratory studies indicated the red blood cell count being 0.76×10¹²/L, hemoglobin being 15.0 g/L, hematocrit being 0.06%, average red blood cell hemoglobin content being 19.7 pg, and average red blood cell hemoglobin concentration being 234 g/L. Blood transfusion and fluid replacement treatment were given, and the patient was discharged after the symptoms were improved. However, the patient was readmitted due to increased dizziness and fatigue. Routine fecal examination revealed hookworms, roundworms and whipworm eggs, while endoscopic examination revealed live parasitic hookworms. Based on the patient's clinical symptoms, epidemiological history, laboratory and pathogen testing results, the diagnosis was established as lower gastrointestinal bleeding resulting from parasitic infection. After receiving treatment with parasitic deworming drugs and corresponding symptomatic treatment, the patient's condition was improved and discharged from hospital.

Key words: Anemia, Ancylostomiasis, Ascariasis, Trichuriasis