PROMOTING ACCESS TO AFRICAN RESEARCH

Nigerian Journal of Postgraduate Medicine

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Severe iron deficiency anaemia in a 37-year-old with HBSC disease: a case report and review of literature.

R.A Bolarinwa, A.A Oyekunle, L Salawu, N.O Akinola, D.D Ogbaro

Abstract


Background: Iron deficiency anaemia (IDA) is not a recognised complication of sickle cell disease; it is uncommon in an adult patients. However, it could occur in children with the disease on the background of a significant nutritional deficiency. Method:
Clinical note of the patient was retrieved for relevant information. The date of first contact with health facility, and subsequent follow-up clinical status was noted. The steady state blood counts, the clinical and laboratory findings at presentation of severe IDA was reviewed. Result: The patient runs a mild disease and was haemoglobin SC. The severe IDA was precipitated by ascaris lumbricoides infestation. This
necessitated packed cell transfusion for the first time ever in this patient. Conclusion: There should be a high index of suspicion for worm infestations in previously untransfused SCD patients presenting with severe anaemia. The role of
iron-deficient state in sickle cell disease amelioration needs further evaluation.

Key words: sickle cell disease, iron deficiency, worm infestation.



http://dx.doi.org/10.4314/njpm.v3i1.60816
AJOL African Journals Online