|
Indian Pediatr 2018;55: 6 16 |
|
Treat Worm Infestation Before Proceeding Further in Cases of
Anemia: Authors Reply
|
Manish Narang1 and
Amarender Singh Puri2
1 Department of
Pediatrics, University College of Medical Sciences, and 2Department
of Gastroenterology, GB Pant Institute of PGMER; New Delhi, India.
Email:
[email protected]
|
We thank the readers for their interest. In our study, stool examination
was done on two consecutive days for identification of parasitic
infection. Five cases with iron- deficiency anemia and six controls had
worm infestation. Bleeding manifestations and occult blood loss on stool
examination was not seen in any patient. Worm infestation was not an
exclusion criteria in our study. Work-up for celiac disease in children
with iron deficiency anemia was performed only for the research purpose.
For clinical management of anemia, irrespective of presence of worm
infestation, oral iron therapy should be the first line of treatment and
other conditions should be suspected if anemia does not respond to iron
therapy, or may be if anemia is severe, as documented in our study.
Moreover, the benefits of anti-helminthic therapy are seen with hookworm
infestation, and not with other parasites.
|
|
|
|