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Unusual form of strongyloidiasis with gastric involvements: A case report

Journal of Acute Disease 2019年第3期8卷 127-129页

作者： Soheil Ebrahimpour Mahmoud Sadeghi-Haddad-Zavareh zeinab Darabi Ahangar zeinab Mohseni Afshar zeinab sheidaie Parisa sabbagh Arefeh Babazadeh Infectious Diseases and Tropical Medicine Research Center Health Research InstituteBabol University of Medical SciencesBabolI.R.Iran Department of Infectious Diseases Kermanshah University of Medical SciencesKermanshahIran Department of Internal Medicine School of MedicineBabol University of Medical SciencesBabolI.R.Iran

Rationale: Strongyloides stercoralis (S. stercoralis) is an intestinal nematode with a complicated life cycle that can involve the gastrointestinal system. Infected patients are generally asymptomatic;but if symptomatic, the symptoms will include skin rash, respiratory and gastrointestinal symptoms like abdominal pain, diarrhea, nausea and vomiting. Patient concerns: A 77-year old man presented with edema of the lower extremities and insignificant tenderness in the epigastric region. Diagnosis: The histopathology of gastric tissue showed severe inflammation and multiple ulcers in the cardia, antrum and proximal duodenum. A large number of rhabditiform larvae of S. stercoralis along with tissue hyperemia and infiltration of lymphoplasma cells, eosinophils, and neutrophils were found. Intervention: Treatment with albendazole. Outcome: Despite the albendazole treatment, the patient's condition deteriorated and eventually died because of a sepsis-like syndrome. Lesson: Physicians should remain alert to the urgency due to threadworm, especially among the elderly people and immunosuppressed cases;and should ensure accurate diagnosis, suitable treatment and careful follow-up of these cases.

关键词： Strongyloides stercoralis Gastric involvement Eosinophil

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