In a rural clinic, a 3-year-old girl child is brought by her mother and is emaciated. Her hemoglobin was 5 g/dL. The girl also has edema over her knees and ankles with discrete rash on her knees, ankles and elbows. The most likely worm infestation causing these manifestations is:

Correct Answer: Hookworm
Description: a. Hookworm(Ref: Nelson 20/e p 1734-1735)Hookworm infestation:Leads to intestinal blood loss - iron deficiency anemia & malnutrition - growth retardationDermatitis referred to as ground itch when they penetrate human skin, manifests as vesiculation & edemaInfection with a zoonotic hookworm, especially A. braziliense cutaneous tracts of cutaneous larva migransCough occurs when larvae migrate through lungs 1 week after exposure; Eosinophilia is often seen
Category: Pediatrics
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