[Small bowel obstruction secondary to massive hookworm infestation complicated by fatal plurimicrobial bacteriemia]

Abstract

Introduction: Intestinal symptoms (cramping, flatulence) and iron deficient anemia are classical presenting manifestations of duodenal hookworm infestation in patients living in endemic area.

Case report: We report a 45-year-old immunocompetent metropolitan man who presented with intestinal obstruction secondary to massive hookworm infestation complicated by fatal plurimicrobial bacteriemia with refractory septic shock.

Conclusion: We report a case of acute surgical abdominal presentation with septicemia and refractory shock syndrome due to ileal translocation secondary to massive hookworm infestation. To the best of our knowledge, such a case has not yet been reported.

Keywords: Ankylostomose; Bacterial translocation; Hookworm infection; Occlusion du grêle; Refractory septic shock syndrome; Small bowel occlusion; Translocation bactérienne; État de choc septique réfractaire.