title: [Small bowel obstruction secondary to massive hookworm infestation complicated by fatal plurimicrobial bacteriemia].
abstract: BACKGROUND
  Intestinal symptoms (cramping, flatulence) and iron deficient anemia are classical presenting manifestations of duodenal hookworm infestation in patients living in endemic area.
  
  
  METHODS
  We report a 45-year-old immunocompetent metropolitan man who presented with intestinal obstruction secondary to massive hookworm infestation complicated by fatal plurimicrobial bacteriemia with refractory septic shock.
  
  
  CONCLUSIONS
  We report a case of acute surgical abdominal presentation with septicemia and refractory shock syndrome due to ileal translocation secondary to massive hookworm infestation. To the best of our knowledge, such a case has not yet been reported.
authors.affiliation: Service de réanimation, hôpital Delafontaine, 2, rue du Docteur-Delafontaine, 93200 Saint-Denis, France. Electronic address: nathalie-memain@club-internet.fr.
authors.forename: N
authors.initials: N
authors.lastname: Mémain
authors.affiliation: Service de réanimation, hôpital André-Grégoire, 56, boulevard de la Boissière, 93100 Montreuil, France.
authors.forename: M
authors.initials: M
authors.lastname: Ben M'Rad
authors.affiliation: Service d'anatomopathologie, hôpital La Pitié-Salpétrière, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Rouvier
authors.affiliation: Service de réanimation, hôpital André-Grégoire, 56, boulevard de la Boissière, 93100 Montreuil, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Pallot
mesh_terms: D016470:Bacteremia / Q000150:complications / Q000382:microbiology* / Q000469:parasitology; D017809:Fatal Outcome; D006725:Hookworm Infections / Q000150:complications* / Q000382:microbiology; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000382:microbiology* / Q000469:parasitology* / Q000473:pathology; D007415:Intestinal Obstruction / Q000150:complications / Q000382:microbiology* / Q000469:parasitology* / Q000473:pathology; D007421:Intestine, Small / Q000382:microbiology / Q000469:parasitology; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000150:complications / Q000382:microbiology / Q000469:parasitology
keywords: Ankylostomose; Bacterial translocation; Hookworm infection; Occlusion du grêle; Refractory septic shock syndrome; Small bowel occlusion; Translocation bactérienne; État de choc septique réfractaire