10-year-old case report of pediculosis with severe anaemia
DOI:
https://doi.org/10.18203/2349-3933.ijam20230703Keywords:
Iron deficiency anaemia, Risk factors, Incidence, PreventionAbstract
Excessive consumption of cow milk and menorrhagia are the two most common causes of iron deficiency anaemia (IDA) in children. However, there have been reported cases of parasitic infestation causing IDA. Pediculus humanus survives on human blood, and prolonged blood loss causes anaemic symptoms. In the current case report, a 10-year-old girl complained of pallor and dizziness. During her physical examination, a head lice infestation was discovered. The patient had no history of chronic illness and used to eat a normal diet that was high in iron. Her haemoglobin level was measured to be 4 g/dl. Doctors determined that the severe iron deficiency was caused due to the head lice infestation. To reach the required haemoglobin level, she was admitted to the hospital and given a blood transfusion. Her head was washed with permethrin 1% shampoo, which removed over 60% of the lice in a single wash. She was instructed to wash her hair with the shampoo again after seven days.
References
Brownell N, Sunantaraporn S, Phadungsaksawasdi K, Seatamanoch N, Kongdachalert S, Phumee A, et al. Presence of the knockdown resistance (kdr) mutations in the head lice (Pediculus humanus capitis) collected from primary school children of Thailand. PLoS Negl Trop Dis. 2020;14(12):e0008955.
Nahavandi K, Ahmadpour E, Pashazadeh F, Dezhkam A, Zarean M, Rafiei-Sefiddashti R, et al. Pediculosis capitis among school-age students worldwide as an emerging public health concern: a systematic review and meta-analysis of past five decades. Parasitol Res. 2020;119(10):3125-43.
Baghdadi HB, Omer EOM, Metwally DM, Abdel-Gaber R. Prevalence of head lice (Pediculus humanus capitis) infestation among schools workers in the Eastern Region, Saudi Arabia. Saudi J Biol Sci. 2021;28(10):5662-6.
Burkhart CN, Burkhart CG. Fomite transmission in head lice. J Am Acad Dermatol. 2007;56(6):1044-7.
Speare R, Canyon DV, Melrose W. Quantification of blood intake of the head louse: Pediculus humanus capitis. Int J Dermatol. 2006;45(5):543-6.
Jones KN, English JC. Review of common therapeutic options in the United States for the treatment of pediculosis capitis. Clin Infect Dis. 2003;36(11):1355-61.
Ogbuji CO, Schuck A, DeVries M, Majdinasab EJ, Benson K, Zaid-Kaylani S, et al. Head Lice Infestation: An Unusual Cause of Iron Deficiency Anemia in a 13-Year-Old Female. Cureus. 2022;14(6):e25956.
Hersh A, Wirkowski S, McMillon B, Balderston A, Hamelink A, McGowan K. A case of severe iron deficiency anemia due to pediculus capitis. Clinical Pediatr Hematol Oncol. 2021;28(1):46-8.
Tong S, Vichinsky E. Iron Deficiency: Implications Before Anemia. Pediatr Rev. 2021;42(1):11-20.
Althomali SA, Alzubaidi LM, Alkhaldi DM. Severe iron deficiency anaemia associated with heavy lice infestation in a young woman. BMJ Case Rep. 2015;2015: 2015212207.
Batool N, Song D, Reyes JVM, Ahmad S, Skulkidis A, Almas T, et al. Ectoparasitosis, a rare cause of severe iron deficiency anemia: A case report. Ann Med Surg (Lond). 2021;69:102784.
Woodruff CM, Chang AY. More than skin deep: Severe iron deficiency anemia and eosinophilia associated with pediculosis capitis and corporis infestation. JAAD Case Rep. 2019;5(5):444-7.
Ronsley R, Ling F, Rehmus W, Dmytryshyn A. Lice infestation causing severe anemia in a 4-year-old child. Can Fam Physician. 2019;65(7):473-5.
Burke S, Mir P. Pediculosis causing iron deficiency anaemia in school children. Arch Dis Child. 2011;96(10):989.
Medina Á, López D, Vásquez LR. Severe pediculosis capitis in a nursery school girl. Biomedica. 2019;39(4):631-8.
Guss DA, Koenig M, Castillo EM. Severe iron deficiency anemia and lice infestation. J Emerg Med. 2011;41(4):362-5.
Hau V, Muhi-Iddin N. A ghost covered in lice: a case of severe blood loss with long-standing heavy pediculosis capitis infestation. BMJ Case Rep. 2014;2014:bcr2014206623.
Fustino NJ, Waddell JP, Panzer ZR. A 12-Year-old Girl With Chronic Pediculosis Infestation Presenting With Severe Iron Deficiency Anemia. J Pediatr Hematol Oncol. 2022;44(3):e804-6.