A Case of Gastroduodenal Strongyloidiasis Causing Protein Losing Enteropathy

Year 2020, Volume: 10 Issue: 04, 237 - 239, 15.12.2020

Sandheep Janardhanan Benoy Sebastian Mary George Sunil Mathai Ashfaq Ahmed Saji John Varghese

https://doi.org/10.5799/jmid.839495

Abstract

Strongylodiasis is an intestinal parasitic infection which can cause cataclysmic hyper infection syndrome in immunocompromised. Here we report an interesting and rare case of gastroduodenal strongyloidiasis presenting as protein losing enteropathy which was promptly diagnosed and dramatically reversed with antihelminthic therapy. J Microbiol Infect Dis 2020; 10(4): 237-239.

Keywords

Strongyloidiasis, protein losing enteropathy, hyperinfection

References

• 1. Zaghlool DA, Hassan AA, Moustafa AM, Shahin WA. A case of fatal gastrointestinal hemorrhage due to hyper infection with Strongyloides stercoralis J Parasit Dis 2016; 40(4): 1347–1350.
• 2. Buonfrate D, Requena-Mendez A, Angheben A, et al. Severe strongyloidiasis: A systematic review of case reports. BMC Infect Dis 2013; 13:78.
• 3. Schär F, Trostdorf U, Giardina F, et al. Strongyloides stercoralis: Global distribution and risk factors. PLoS Negl Trop Dis 2013; 7:e2288.
• 4. Sebastian Anitha, Muttath Radhika, Madhavan Indira, Thomas Vinu. A case of Strongyloides hyperinfection syndrome. Trop J Med Res 2014;17(2):140–142.
• 5. Agrawal V, Agarwal T, Ghoshal UC. Intestinal strongyloidiasis: a diagnosis frequently missed in the tropics. Trans R Soc Trop Med Hyg 2009; 103:242–246.
• 6. Adedayo O, Grell G, Bellot P. Hyperinfective strongyloidiasis in the medical ward. South Med J 2002; 95:711–716.
• 7. Yaldiz M, Hakverdi S, Aslan A, Temiz M, Culha G. Gastric infection by Strongyloides stercoralis: a case report. Turk J Gastroenterology 2009; 20(1):48-51.
• 8. Ebrahimpour S, Sadeghi–Haddad–Zavareh M, Ahangar ZD, et al. Unusual form of strongyloidiasis with gastric involvements: A case report. J Acute Diseases 2019; 8(3):127-129.
• 9. Henriquez-Camacho C, Gotuzzo E, Echevarria J, et al. Ivermectin versus albendazole or thiabendazole for Strongyloides stercoralis infection. Cochrane Database Syst Rev 2016; 18(1): CD007745.
• 10. Gupta V, Bhatia S, Mridha AR, Das P, Khanna N. Strongyloides stercoralis hyperinfection: An often missed but potentially fatal cause of anemia and hypoalbuminemia in leprosy patients on long-term steroid therapy. Indian J Dermatol Venereol Leprol 2017; 83(3): 381-383.
• 11. Rivasi F, Pampiglione S, Boldorini R, Cardinale L. Histopathology of Gastric and Duodenal Strongyloides stercoralis Locations in Fifteen Immunocompromised Subjects. Archiv Pathology Labor Med 2006; 130(12): 1792-1798.