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Pediculosis Is a Risk Factor for Iron Deficiency Anaemia
Hussain A Al Ghadeer1, Fadi Busaleh1, Hassan M Albahrani1
1Pediatrics, Maternity and Children Hospital, Al-Ahsa, SAU.
Insights
Pediculosis capitis, a common head louse infestation, can cause severe anemia in children. This case series highlights the link between heavy lice infestation and microcytic hypochromic anemia, emphasizing the need for prompt treatment.
Area of Science:
- Medical Entomology
- Pediatrics
- Hematology
Background:
- Pediculosis capitis, a common head louse infestation, primarily affects children.
- While generally manageable with hygiene, chronic infestations can lead to complications.
- Hematological complications like anemia are infrequently reported but significant.
Observation:
- A case series of five pediatric patients presented with severe anemia.
- All patients exhibited heavy head louse infestation (Pediculosis capitis).
- Laboratory findings included microcytic hypochromic anemia and low serum iron.
Findings:
- Severe anemia was directly associated with heavy Pediculosis capitis.
- Other potential causes of anemia were systematically excluded.
- Patients required blood transfusions due to the severity of the anemia.
Implications:
- This study underscores the potential for Pediculosis capitis to cause significant hematological issues.
- Early diagnosis and treatment of head lice are crucial to prevent complications like anemia.
- Further research into the mechanisms of anemia in severe lice infestations is warranted.
Abstract:
Pediculosis capitis is obligate ectoparasite that lives and feeds on host blood, affecting commonly children. Lice are transmitted easily and respond to topical treatment with good personal hygiene. Chronic infestation can lead to different complications such as bacterial infection dermatitis and anaemia. Haematological complications are not reported frequently. We report a case series of five patients presented with a clear manifestation of anaemia with heavy lice infestation. Laboratory evaluation revealed microcytic hypochromic anaemia (red blood cell indices) with low serum iron levels and other causes that were excluded. All patients who were admitted received blood transfusions. There was not a possible explanation for this severe anaemia other than head lice.
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