Abstract

A 30 year old immuno-competent female, a home maker by occupation, belonging to class III Modified Prasad's classification presented to medicine out-patient department with complaints of diarrhea 6-8 episodes per day, anal pruritus, lower abdominal pain, vomiting and nausea for about 10 days. Patient also complained of malaise and low grade fever on and off for the past two weeks. No other history of similar complaints in the family. On examination patient was afebrile and had moderate pallor. Routine laboratory blood investigations revealed profound eosinophilia and moderate anemia. Stool specimen was sent to Diagnostic Microbiology Laboratory for microscopic examination which revealed presence of helminthic co-infection namely Hymenolepis nana and Ascaris lumbricoides. Patient was de-wormed with specific antihelminthic therapy and the patient improved symptomatically and was subsequently discharged. Follow up microscopic stool re-examination done at 10 days and 18 days after the treatment revealed no parasitic ova or cyst