title: A case of severe anemia by Necator americanus infection in Korea.
abstract: 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.
authors.affiliation: Department of Internal Medicine, National Police Hospital, Seoul, Korea.
authors.forename: Hee Jae
authors.initials: HJ
authors.lastname: Hyun
authors.forename: Eun-Min
authors.initials: EM
authors.lastname: Kim
authors.forename: So Yeon
authors.initials: SY
authors.lastname: Park
authors.forename: Jun-Oh
authors.initials: JO
authors.lastname: Jung
authors.forename: Jong-Yil
authors.initials: JY
authors.lastname: Chai
authors.forename: Sung-Tae
authors.initials: ST
authors.lastname: Hong
mesh_terms: D000369:Aged, 80 and over; D015766:Albendazole / Q000627:therapeutic use; D000740:Anemia / Q000175:diagnosis* / Q000469:parasitology; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D004384:Duodenoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D017221:Necator americanus / Q000302:isolation & purification; D009332:Necatoriasis / Q000175:diagnosis* / Q000188:drug therapy; D056910:Republic of Korea
chemical_list: D000871:Anthelmintics; D015766:Albendazole