Hematemesis masiva secundaria a uncinariasis : presentación de un caso.

Introduccion: la uncinariasis sigue siendo en la actualidad un problema de salud publica. La pobre higiene y las condiciones de vida insalubres contribuyen a la permanencia del parasito. Dichos agentes se localizan principalmente en el intestino delgado, donde se fijan a la mucosa, expolian sangre y producen anemia cronica. El objetivo es presentar el caso clinico de un paciente con uncinariasis que ademas de la anemia presentaba hematemesis severa. Caso clinico: paciente masculino de 27 anos, recluido en centro penitenciario, que ingreso por cuadro de tres dias de hematemesis asociada a dolor en epigastrio, astenia y adinamia. Entre sus antecedentes referia hospitalizaciones previas por hemorragias del tracto digestivo con endoscopias sin hallazgos patologicos. Al realizar nueva endoscopia se observaron uncinarias vivas a nivel duodenal y areas de lesiones de la mucosa. Se realizo tratamiento con bencimidazoles, alcanzando resolucion del cuadro clinico. Conclusion: aunque la hemorragia de vias digestivas es una presentacion atipica de la uncinariasis, estos parasitos deben tenerse en cuenta como agentes causales cuando se trata un paciente con hemorragia del tracto digestivo. Rev.cienc.biomed. 2016;7(1):139-143. PALABRAS CLAVE Infeccion por uncinaria; Necatoriasis; Anquilostomiasis; Hemorragia gastrointestinal. SUMMARY Introduction: currently, hookworm infections remain a public health problem. Poor hygiene and unsanitary living conditions contribute to the permanence of the parasites whose agents are located mainly in the small intestine where they attach to the mucosa, they plunder blood and produce chronic anemia. The goal of this study is to present a case report about a patient who suffered from hookworm infection which then it became anemia. Also, the patient presented hematemesis. Case report: a 27-year-old male patient who was held in prison went to the hospital for a profile of hematemesis during three days associated with epigastrium pain, asthenia and adinamia. The patient presented previous hospitalizations by gastrointestinal tract hemorrhages with endoscopies and without pathological findings among his medical history. Alive hookworm infections and mucosa lesions were found when a new endoscopy was carried out in the duodenal level. The treatment was carried out with benzimidazoles, in this way the clinical profile was resolved. Conclusion: even though gastrointestinal tract hemorrhage is an atypical manifestation of hookworm infections these parasites should be considered as causative agents when a patient is suffering from gastrointestinal tract hemorrhage. Rev.cienc.biomed. 2016;7(1):139-143. KEYWORDS Hookworm infections; Necatoriasis; Ancylostomiasis; Gastrointestinal tract hemorrhage.