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CC BY 4.0 · Journal of Child Science 2022; 12(01): e9-e12
DOI: 10.1055/s-0042-1743196
Case Report

Emerging Multiple Parasite Reinfection as Neglected Tropical Disease: A Case Series

Fatima Safira Alatas 
1   Department of Child Health, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
,
Aldisa Ayu Pratiwi
1   Department of Child Health, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
,
Agnes Kurniawan
2   Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
,
Antonius Hocky Pudjiadi 
1   Department of Child Health, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
3   Scientific Affair of Indonesian Pediatric Society Head Office, Jakarta, Indonesia
› Author Affiliations Funding None.
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Abstract

Soil-transmitted helminth infection is endemic in Indonesia, with cases of reinfection despite individualized therapy and a mass treatment program. Three cases of multiple helminth infections were described that might be associated with chronic bloody diarrhea and stunted growth. These case series alert pediatricians that untreated helminthic infections are part of the differential diagnosis in children with gastrointestinal bleeding. Environmental surveillance should be performed in high-risk areas to prevent reinfection and growth alteration. In endemic areas, bloody diarrhea warns for an early routine fecal analysis. Correct diagnosis, prompt treatment, and source control are crucial to prevent long-term complications.

Keywords

trichuriasis - multiple helminth infections - gastrointestinal bleeding - growth faltering

Consent for Publication

Written informed consent was obtained from the patient for the publication of this case report and accompanying images.


Authors' Contributions

F.S.A. coordinated the writing of the case series and was the attending senior consultant who examined the patient and performed a colonoscopy examination. A.A.P. helped in the drafting of the manuscript and follow-up of the patient, A.K. helped with parasitology examination of the patients and writing of discussion, and A.H.P. helped to draft the manuscript and supervise the project. All authors have read and approved the final version of the manuscript.




Publication History

Received: 05 April 2021

Accepted: 20 December 2020

Article published online:
04 March 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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