Case 12

A 30 year old male farm worker by occupation, presented with weakness, epigastric pain, anorexia since a month and diarrhoea since 3 days. On physical examination he had pallor and peripheral blood smear examination revealed microcytic hypochromic anaemia. On stool microscopy non-bile stained eggs were observed and occult blood was seen. Q: a)what is your provisional diagnosis? b)Which parasites can cause above manifestations?

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  1. Provisional diagnosis: Iron deficiency anemia due to worm infestation.
    parasite most commonly involved in GI blood loss is hook worm. the ova of hook worm are non-bile stained.
    other parasites with non-bile stained ova are: H. nana, H. diminuta, E. vermicularis.

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