• Jahnavi Putrevu. SVP

Background Iron deficiency anemia is a common cause of anemia worldwide, particularly in developing countries where nutritional deficiencies and parasitic infections are prevalent. Chronic alcoholism further exacerbates anemia by impairing nutrient absorption. Severely low hemoglobin levels are rarely documented in stable patients without acute hemorrhage or hemodynamic compromise. This report details a case of profound iron deficiency anemia with a hemoglobin level of 1.9 g/dL managed successfully with blood transfusions, iron supplementation, and anthelmintic therapy. Case Report A 55-year-old male with no know medical and family history but a history of chronic alcohol consumption and smoking presented with generalized weakness, fatigue, pedal edema, and dyspnea on exertion. Physical examination revealed marked pallor. Laboratory tests showed a critically low hemoglobin of 1.9 g/dL with microcytic, hypochromic anemia. Iron studies confirmed severe iron deficiency. Elevated eosinophils and liver enzymes suggested parasitic infection, later treated with albendazole. Over a week-long hospitalization, the patient received five units of packed red blood cells and supportive care, resulting in improved hemoglobin levels and resolution of symptoms. Conclusions This case highlights the potential for severe iron deficiency anemia to present with critically low hemoglobin in a hemodynamically stable adult, emphasizing the importance of recognizing multifactorial causes such as malnutrition, chronic alcoholism, and parasitic infections. Early diagnosis, combined treatment addressing underlying causes, and supportive transfusions can lead to favorable outcomes. This report adds to the limited literature on extreme anemia presentations in adults without acute bleeding.

Iron Deficiency Anemia, Severe Anemia, Chronic Alcoholism, Hookworm Infection, Blood Transfusion, Nutritional Anemia.

"A rare presentation of severe Iron Deficiency Anemia with extremely low hemoglobin in a conscious, stable Patient", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 5, page no.e659-e662, May-2025, Available :http://www.jetir.org/papers/JETIR2505549.pdf

"A rare presentation of severe Iron Deficiency Anemia with extremely low hemoglobin in a conscious, stable Patient", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 5, page no. ppe659-e662, May-2025, Available at : http://www.jetir.org/papers/JETIR2505549.pdf