Acute Hemorrhage from Small Bowel Diverticula Harboring Strongyloidiasis and Schistosomiasis

Data from murine models suggest that intestinal parasites, including Schistosoma, may disrupt neural pathways from the myenteric plexus through enteric inflammation and damage from either eosinophilic toxicity or induction of apoptosis of enteric neurons, thereby producing areas of aperistalsis.2 Bo...

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Bibliographic Details
Published in:The American surgeon 2010-05, Vol.76 (5), p.539-541
Main Authors: FAIRWEATHER, Mark, BURT, Bryan M, VANDERLAAN, Paul A, BRUNKER, Patricia A. R, BAFFORD, Andrea C, ASHLEY, Stanley W
Format: Article
Language:English
Subjects:
Animals
Apoptosis
Biological and medical sciences
Blood
Diseases caused by nematodes
Diseases caused by trematodes
Diverticulum - diagnosis
Diverticulum - parasitology
Diverticulum - therapy
Duodenal Diseases - diagnosis
Duodenal Diseases - parasitology
Duodenal Diseases - therapy
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - parasitology
Gastrointestinal Hemorrhage - therapy
General aspects
Helminthic diseases
Humans
Infectious diseases
Jejunal Diseases - diagnosis
Jejunal Diseases - parasitology
Jejunal Diseases - therapy
Male
Medical imaging
Medical sciences
Middle Aged
Mortality
Parasites
Parasitic diseases
Schistosomiases
Schistosomiasis mansoni - complications
Schistosomiasis mansoni - diagnosis
Schistosomiasis mansoni - therapy
Strongyloides stercoralis
Strongyloidiasis - complications
Strongyloidiasis - diagnosis
Strongyloidiasis - therapy
Strongyloidosis
Tropical diseases
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Summary:Data from murine models suggest that intestinal parasites, including Schistosoma, may disrupt neural pathways from the myenteric plexus through enteric inflammation and damage from either eosinophilic toxicity or induction of apoptosis of enteric neurons, thereby producing areas of aperistalsis.2 Both S. stercoralis and S. mekongi can persist as an asymptomatic infection in the human host for decades and can be responsible for considerable morbidity and mortality. The clinical manifestations of strongyloidiasis are believed to be the result of mechanical damage of mucosa by migrating larvae and the subsequent edema and mucosal inflammation and erosion.3 Schistosoma are blood fluke parasites that are endemic in areas of Asia, North Africa, the Middle East, and South America and are reported to infect roughly 200 million people globally and are the most common cause of portal hypertension worldwide.4 Infection occurs when individuals are exposed to water contaminated with the larval form.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481007600525