Lice feed on human blood, and heavy and chronic lice infestation can lead to chronic blood loss with resultant iron deficiency anaemia. Although no definite relationship between lice infestation and iron deficiency anaemia has been described, the concurrent presence of these two conditions has been reported in children and adults, as well as in cattle. We present a case of a young woman with severe iron deficiency anaemia that could not be explained by the known causes of iron deficiency anaemia. However, the patient was found to have heavy and chronic head lice infestation.

Volume 5 -Issue 4 patients with CVC may be related to catheter infection, catheter related septicemia, frequent admissions, inadequate dialysis related to insufficient blood flow and frequent interruption of dialysis due to venous stenosis or thrombosis [6][7][8]. Almasri J, et al. conducted a recent systematic review and meta-analysis of 200 studies. Of 875,269 vascular accesses, the primary patency at two years was higher for fistulas than for graft and catheters (55%, 50% and 40% respectively). The risk factors for lower patency rates were old age, female gender, diabetes and coronary artery disease. The two-year mortality was higher with catheters, followed by grafts and fistulas (26%, 17% and15%