Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual

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 disea...

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Bibliographic Details
Published in:Case Reports in Medicine 2014-01, Vol.2014 (2014), p.266-268-059
Main Authors: Sheth, Shail, Asslo, Fady, Hallit, Rabih, Sison, Raymund, Afridi, Muhammad, Spira, Robert, DePasquale, Joseph, Slim, Jihad, Boghossian, Jack
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Complications and side effects
Diagnosis
Health aspects
Strongyloidiasis
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Summary: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/mm3 (normal 0–700/mm3). 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.
ISSN:1687-9627
1687-9635
DOI:10.1155/2014/346256