Ancylostomiasis natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalpana Giri, MBBS[2]


Overview

The majority of the infected patients remain asymptomatic. The symptoms of ancylostomiasis typically develop by direct contact of the skin with contaminated soil and the fecal-oral route. The most common complications include: iron deficiency anemia, in child: intellectual and cognitive development, in pregnant women: severe anemia, impaired growth, severe anemia, premature birth, neonatal anemia. Prognosis is generally excellent with proper treatment.

Natural History

The symptoms of ancylostomiasis typically develop by direct contact of the skin with contaminated soil and the fecal-oral route.[1]

Complication

The majority of the infected patients remain asymptomatic.[1] The most common complications include:

Children with moderate and heavy intensity hookworm infections include:[2]

Women especially pregnant infected with hookworms include:

Prognosis

Prognosis is generally excellent with proper treatment and mortality rate in the tropics is approximately 50-60,000 deaths per year. It causes significant morbidity in the form of chronic anemia and protein malnutrition.[3][4]

References

  1. 1.0 1.1 Ronquillo AC, Puelles LB, Espinoza LP, Sánchez VA, Luis Pinto Valdivia J (2019). "Ancylostoma duodenale as a cause of upper gastrointestinal bleeding: a case report". Braz J Infect Dis. 23 (6): 471–473. doi:10.1016/j.bjid.2019.09.002. PMID 31622567.
  2. Blair P, Diemert D (2015). "Update on prevention and treatment of intestinal helminth infections". Curr Infect Dis Rep. 17 (3): 465. doi:10.1007/s11908-015-0465-x. PMID 25821189.
  3. "Hookworms: Ancylostoma spp. and Necator spp". Archived from the original on 27 October 2008. Retrieved 2008-10-30.
  4. Diemert DJ, Bethony JM, Hotez PJ (2008). "Hookworm vaccines". Clin Infect Dis. 46 (2): 282–8. doi:10.1086/524070. PMID 18171264.

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