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Published on: September 19, 2019
Echinostomiasis in a child with severe anemia
Vinay Khanna1, Asem Ali Ashraf1, Ruchee Khanna1
1Department of Microbiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Insights
A child with parasitic worm infections, including Echinostoma species, experienced anemia and gastrointestinal issues. Early detection and treatment are crucial for preventing developmental delays in children.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Intestinal parasitic infections (IPIs) are a significant global health concern, particularly in children.
- Anemia resulting from IPIs can impede child development.
- Unsanitary living conditions and lack of awareness contribute to the spread of communicable diseases.
Observation:
- A child presented with dark green stools, vomiting, fever, and low hemoglobin levels.
- Abdominal ultrasonography indicated the presence of worms.
- Stool examination revealed eggs of *Echinostoma* species, *Trichuris trichiura*, and *Ascaris lumbricoides*.
Findings:
- The child was diagnosed with a mixed intestinal parasitic infection.
- Co-infection with *Echinostoma* species, *Trichuris trichiura*, and *Ascaris lumbricoides* was confirmed.
- Low hemoglobin levels suggested anemia secondary to the parasitic burden.
Implications:
- Early diagnosis and treatment of IPIs are essential to prevent anemia and support healthy child development.
- Further research is needed to understand the complex factors contributing to IPIs, including environmental and awareness-related influences.
- The diagnostic challenges associated with *Echinostoma* species highlight the need for improved detection methods.
Abstract:
A child had presented with complaints of dark green-colored loose stools, nonbilious vomiting, and fever for a day. Blood investigations revealed low hemoglobin levels. Abdominal ultrasonography showed features suggestive of worms. Wet mount examination of stool showed eggs of Echinostoma species and Trichuris trichiura and fertilized and unfertilized eggs of Ascaris lumbricoides. High incidences of intestinal parasitic infections in children can lead to anemia, consequently disturbing the development of these children. Such intestinal parasitic infections seem to be associated directly due to the unclean living settings linked with lack of awareness regarding the communicable disease and diversity of influences that need to be further elucidated. In humans, Echinostoma species have seldom been detected perhaps for the reason of its complexity in diagnosis by fecal examination as the eggs generated per worm are relatively less in contrast to other helminthic parasites.
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