Anjum Saeed, Huma Arshad Cheema, Arshad Alvi, Hassan Suleman.
Hookworm infestation in children presenting with melena-case series.
Pak J Med Res Jan ;47(4):98-100.

Aims: Hookworm infection is common in children and can present with symptoms of upper gastrointestinal bleeding and severe anemia. Patients and Methods: Ten children below 5 years presenting with melena and severe pallor were seen from December 2006 to May 2007 in the gastroenterology and hepatology department of children`s hospital, Lahore. All patients had history of transfusion. Complete blood picture, eosinophil count with peripheral smear, stool complete examination for ova and cysts were performed in all cases, while upper and lower gastrointestinal endoscopies were performed in three patients to locate the source of bleeding. Results: Stool routine examination in all these cases confirmed hook worm ova. These patients were managed with antihelmenthic and stool complete examination was done three days after the medicine. There was no mortality. Conclusions: Though upper gastrointestinal bleeding with hookworm infestation is very rare but in the developing countries it should be considered when other causes of upper gastrointestinal bleeding are ruled out.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com