Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent IndividualReport as inadecuate




Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual - Download this document for free, or read online. Document in PDF available to download.

Case Reports in MedicineVolume 2014 2014, Article ID 346256, 3 pages

Case Report

Department of Internal Medicine, Saint Michael’s Medical Center, Newark, NJ 07102, USA

Department of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USA

Department of Gastroenterology, Saint Michael’s Medical Center, Newark, NJ 07102, USA

Received 21 October 2013; Accepted 20 December 2013; Published 4 February 2014

Academic Editor: Robert A. Kozol

Copyright © 2014 Shail Sheth et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Strongyloidiasis is a common parasitic disease in tropical regions of the world. Infection with Strongyloides stercoralis usually remains asymptomatic with peripheral eosinophilia and uncontrolled growth. Consequently, immunocompromised individuals are at a higher risk of complications of this disease. We present a case of an immunocompetent patient whose complaint of acute abdominal pain was found to be due to gastric and duodenal ulcerations. Laboratory examination revealed significantly elevated absolute eosinophil count at 11,466-mm

normal 0–700-mm

. The duodenal biopsy revealed parasitic ova and adult worms suggestive of Strongyloides stercoralis nematode with increased eosinophils in the tissue. We report the first case of multiple gastric and duodenal ulcerations due to Strongyloides stercoralis in an immunocompetent patient. We suggest that the elevated eosinophil count played a central role in the pathogenesis.





Author: Shail Sheth, Fady Asslo, Rabih Hallit, Raymund Sison, Muhammad Afridi, Robert Spira, Joseph DePasquale, Jihad Slim, and Ja

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents