Acute Reversible Heart Failure in Severe Iron-Deficiency Anemia Associated with Hookworm Infestation

نویسنده

  • K. SOMERS
چکیده

SEVERE iron-deficieney anemia associated with hookworm infestation is common in Uganda and during the year 1957, accounted for 114 or 5 per cent of all adult medical admissions, excluding pediatries, into Mulago Hospital.' It is not intended in this communication to enter into the controversy over the role of the hookworm in the causation of the anemia,2-5 but it can be stated at the outset that experience at Mulago Hospital continues to confirm Lehmann 's findings6' that iron alone will not cure the aniemia and that, in addition, removal of the hookworms will result in a rapid improvement. Severe anemia from any cause may affect the heart by producing a hyperkinetic circulatory state with its manifestations of tachycardia, dyspnea, and edema.8 These are commonplace findings in severe anemia associated with hookworm infestation seen at Mulago. Furthermore, congestive failure due to the anemia is not uncommonly seen and this report is concerned with a study of heart failure in patients with severe anemia associated with heavy hookworm infestation.

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تاریخ انتشار 2005