Citation Information :
Kaur N, Arora S, Singh P, Arora D, Kalra N, Jindal N. Endoscopic Diagnosis of Hookworm Infection from Malwa Region, Punjab: A Case Report. J Gastrointest Infect 2014; 4 (1):56-58.
Hookworm is one of the important soil-transmitted helminthes and is usually diagnosed by characteristic clinical findings such as anaemia and laboratory investigations like blood examination showing eosinophilia and stool microscopic examination showing characteristic egg morphology. A40-year-old man complained of epigastric pain and passage of black coloured stools for 2 months. There was no eosinophilia and stool was positive for occult blood but no helminthic egg was detected microscopically. Under the impression of peptic ulcer disease with chronic blood loss, upper gastrointestinal endoscopy was performed. Many worms were found in the duodenum incidentally by endoscopy & were identified as Necator americanus and successfully eradicated by mebendazole treatment. It is always crucial to do repeated stool examinations and to observe the duodenum carefully by endoscopy where parasite infestation is suspected clinically.