Abstract
Hookworms, together with other helminthes infestations, were serious health problems in Taiwan before. With improvements in public health and medicine, the prevalence of parasite infestations drops significantly and current attention has been shifted to foreign laborers coming from the Southeast Asia. Herein we reported a case of hookworm infestation who presented as subacute diarrhea. Initially, only peripheral eosinophilia was revealed. Anti-helminth treatment, but not the immunosuppressant for eosinophilic gastroenteritis, was given when the hookworm ova were finally harvested after repeated stool examinations. Please remember the old diseases when you meet a patient with gastrointestinal complaints and peripheral eosinophilia, especially when there are intermittent skin atopic manifestations. Repeated parasite ova checks with concentration method are necessary in acute stage, especially when the worm burden is not heavy.
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