Hematemesis masiva secundaria a uncinariasis: presentación de un caso

Juan Manuel Montes-Farah, José Carlos Posada- Viana, Kevin Cantillo-García, Jorge de Jesús Gómez-Villa

Resumen


 Introducción: la uncinariasis sigue siendo en la actualidad un problema de salud públi­ca. La pobre higiene y las condiciones de vida insalubres contribuyen a la permanencia del parásito. Dichos agentes se localizan principalmente en el intestino delgado, donde se fijan a la mucosa, expolian sangre y producen anemia crónica. El objetivo es presen­tar el caso clínico de un paciente con uncinariasis que además de la anemia presentaba hematemesis severa.

Caso clínico: paciente masculino de 27 años, recluido en centro penitenciario, que in­gresó por cuadro de tres días de hematemesis asociada a dolor en epigastrio, astenia y adinamia. Entre sus antecedentes refería hospitalizaciones previas por hemorragias del tracto digestivo con endoscopias sin hallazgos patológicos. Al realizar nueva endoscopia se observaron uncinarias vivas a nivel duodenal y áreas de lesiones de la mucosa. Se realizó tratamiento con bencimidazoles, alcanzando resolución del cuadro clínico.

Conclusión: aunque la hemorragia de vías digestivas es una presentación atípica de la uncinariasis, estos parásitos deben tenerse en cuenta como agentes causales cuando se trata un paciente con hemorragia del tracto digestivo. Rev.cienc.biomed. 2016;7(1):139-143.

PALABRAS CLAVE

Infección por uncinaria; Necatoriasis; Anquilostomiasis; Hemorragia gastrointestinal.

SUMMARY

Introduction: currently, hookworm infections remain a public health problem. Poor hygiene and unsanitary living conditions contribute to the permanence of the para­sites whose agents are located mainly in the small intestine where they attach to the mucosa, they plunder blood and produce chronic anemia. The goal of this study is to present a case report about a patient who suffered from hookworm infection which then it became anemia. Also, the patient presented hematemesis.

Case report: a 27-year-old male patient who was held in prison went to the hospital for a profile of hematemesis during three days associated with epigastrium pain, as­thenia and adinamia. The patient presented previous hospitalizations by gastrointes­tinal tract hemorrhages with endoscopies and without pathological findings among his medical history. Alive hookworm infections and mucosa lesions were found when a new endoscopy was carried out in the duodenal level. The treatment was carried out with benzimidazoles, in this way the clinical profile was resolved.

Conclusion: even though gastrointestinal tract hemorrhage is an atypical manifesta­tion of hookworm infections these parasites should be considered as causative agents when a patient is suffering from gastrointestinal tract hemorrhage. Rev.cienc.biomed. 2016;7(1):139-143.

KEYWORDS

Hookworm infections; Necatoriasis; Ancylostomiasis; Gastrointestinal tract hemorrhage.


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