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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 39-41

Co-Infection of Hookworm and Plasmodium Vivax Leading to Severe Anemia Associated with Diffuse Nodular Proctocolitis - A Case Report


1 Senior Resident, Department of Microbiology, Indira Gandhi institute of Medical Sciences, Sheikhpura, Patna - 14, Bihar, India
2 Additional Professor, Department of Microbiology, Indira Gandhi institute of Medical Sciences, Sheikhpura, Patna - 14, Bihar, India
3 Assistant professor, Department of Microbiology, Indira Gandhi institute of Medical Sciences, Sheikhpura, Patna - 14, Bihar, India
4 Professor, Department of Microbiology, Indira Gandhi institute of Medical Sciences, Sheikhpura, Patna - 14, Bihar, India

Correspondence Address:
Kumar Ajay
Senior Resident, Department of Microbiology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna -14, Bihar
India
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Source of Support: None, Conflict of Interest: None


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Introduction Malaria is well known since antiquity, and its parasites are also found in various part of the world. The mixed parasitic infections are not very uncommon ,but the protozoal and intestinal nematode mixed infection is uncommon. We are presenting a case which is a proved mixed parasitic infection having protozoal and intestinal nematode infection admitted in IGIMS, Gastro1ogy department. Case Report A 35 year old male presented with febrile illness with severe anemia, anasarca, ascitis and melena. The hemoglobin value was 1.8gm percent. Gastrointestinal endoscopy was normal but white thread like structure attached to mucosa of duodenum was found. Later on it proved to be Hookworm during microscopic examination. Patient was positive for Plasmodium vivax also. The colonoscopic finding was diffuse nodular proctocolitis. No clinical sign or histopathological evidence was detected for inflammatory bowel Syndrome. No evidence of granuloma or neoplasia was seen in serial section. Conclusion Co-infection of Hookworm and Plasmodium vivax is an unusual finding. Both Hookworm and Plasmodium vivax cause anemia. Severe anemia in this case may be due to Hookworm or Plasmodium vivax individually or may be due to synergistic infection of both the parasites.


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