Unusual form of strongyloidiasis with gastric involvements: A case report  

作　　者：Soheil Ebrahimpour Mahmoud Sadeghi-Haddad-Zavareh Zeinab Darabi Ahangar Zeinab Mohseni Afshar Zeinab Sheidaie Parisa sabbagh Arefeh Babazadeh 

机构地区：[1]Infectious Diseases and Tropical Medicine Research Center,Health Research Institute,Babol University of Medical Sciences,Babol,I.R.Iran [2]Department of Infectious Diseases,Kermanshah University of Medical Sciences,Kermanshah,Iran [3]Department of Internal Medicine,School of Medicine,Babol University of Medical Sciences,Babol,I.R.Iran

出　　处：《Journal of Acute Disease》2019年第3期127-129,共3页急性病杂志（英文版）

摘　　要：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 

分 类 号：R5[医药卫生—内科学]