title: Hookworm Anemia in a Peritoneal Dialysis Patient in China.
abstract: Hookworm infections as well as other intestinal nematodiases are endemic in China. In this case, a 70-year-old male showed symptoms of chest tightness, shortness of breath, and both lower extremities edema. The diagnostic result was chronic renal insufficiency, chronic kidney disease (5th stage), and renal anemia at first. Then, he received treatment with traditional drugs. However, this treatment did not help to alleviate the symptoms of the patient significantly. The results of gastroendoscopy showed hookworms in the duodenum, also confirmed by pathology examination. Anemia was markedly ameliorated after eliminating the parasites. The results mentioned above suggested that ancylostomiasis was the leading causes of anemia in this patient, and the etiology of anemia in uremic patients should be systematically considered. Especially when anemia could not be cured by regular treatments, rare diseases should be investigated.
authors.affiliation: Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University, Ningbo, Zhejiang, China.
authors.forename: Fuquan
authors.initials: F
authors.lastname: Wu
authors.affiliation: Kidney Disease Center, School of Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University, Ningbo, Zhejiang, China.
authors.forename: Min
authors.initials: M
authors.lastname: Xia
authors.affiliation: Nephrology Department, School of Medicine, The First Affiliated Hospital of Zhejiang University, Ningbo, Zhejiang, China.
authors.forename: Guanghui
authors.initials: G
authors.lastname: Ying
authors.affiliation: Kidney Disease Center, School of Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
authors.forename: Zhangfei
authors.initials: Z
authors.lastname: Shou
mesh_terms: D000368:Aged; D000723:Ancylostomatoidea / Q000302:isolation & purification*; D000724:Ancylostomiasis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D000740:Anemia / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D000818:Animals; D002681:China; D004386:Duodenum / Q000469:parasitology / Q000473:pathology; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects*
keywords: Hookworm; ancylostomiasis; anemia; gastroendoscopy