Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma!
We report an unusual case of jejunal strongyloidiasis presenting as chronic malabsorption and intractable small bowel diarrhea in an immunocompetent adolescent boy who posed a diagnostic challenge for pathologists, radiologists, and gastroenterologists. Histopathology revealed chronic active colitis...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Pathology and Microbiology |
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| Online Access: | https://journals.lww.com/10.4103/ijpm.ijpm_298_23 |
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| author | Surbhi Goyal Sandip Barman Puja Sakhuja Sanjeev Sachdeva Poonam Narang Hirdaya H. Nag |
| author_facet | Surbhi Goyal Sandip Barman Puja Sakhuja Sanjeev Sachdeva Poonam Narang Hirdaya H. Nag |
| author_sort | Surbhi Goyal |
| collection | DOAJ |
| description | We report an unusual case of jejunal strongyloidiasis presenting as chronic malabsorption and intractable small bowel diarrhea in an immunocompetent adolescent boy who posed a diagnostic challenge for pathologists, radiologists, and gastroenterologists. Histopathology revealed chronic active colitis and was consistent with the clinicoradiological diagnosis of Crohn’s colitis but nonresponse to immunomodulators warranted full-thickness jejunal biopsy through laparotomy which showed numerous larvae and eggs of Strongyloides. There is a need to increase the awareness of Strongyloides colitis given its high rate of misdiagnosis and mortality as the correct diagnosis can avoid a fatal outcome of this curable disease. |
| format | Article |
| id | doaj-art-038e92729ccf49fa88a4c3e181cecc23 |
| institution | OA Journals |
| issn | 0377-4929 0974-5130 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pathology and Microbiology |
| spelling | doaj-art-038e92729ccf49fa88a4c3e181cecc232025-08-20T02:09:12ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302025-01-0168116116410.4103/ijpm.ijpm_298_23Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma!Surbhi GoyalSandip BarmanPuja SakhujaSanjeev SachdevaPoonam NarangHirdaya H. NagWe report an unusual case of jejunal strongyloidiasis presenting as chronic malabsorption and intractable small bowel diarrhea in an immunocompetent adolescent boy who posed a diagnostic challenge for pathologists, radiologists, and gastroenterologists. Histopathology revealed chronic active colitis and was consistent with the clinicoradiological diagnosis of Crohn’s colitis but nonresponse to immunomodulators warranted full-thickness jejunal biopsy through laparotomy which showed numerous larvae and eggs of Strongyloides. There is a need to increase the awareness of Strongyloides colitis given its high rate of misdiagnosis and mortality as the correct diagnosis can avoid a fatal outcome of this curable disease.https://journals.lww.com/10.4103/ijpm.ijpm_298_23full-thickness biopsyhyperinfectionivermectinprotein-losing enteropathystrongyloidiasis |
| spellingShingle | Surbhi Goyal Sandip Barman Puja Sakhuja Sanjeev Sachdeva Poonam Narang Hirdaya H. Nag Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! Indian Journal of Pathology and Microbiology full-thickness biopsy hyperinfection ivermectin protein-losing enteropathy strongyloidiasis |
| title | Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! |
| title_full | Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! |
| title_fullStr | Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! |
| title_full_unstemmed | Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! |
| title_short | Jejunal strongyloidiasis mimicking crohn’s colitis: A diagnostic dilemma! |
| title_sort | jejunal strongyloidiasis mimicking crohn s colitis a diagnostic dilemma |
| topic | full-thickness biopsy hyperinfection ivermectin protein-losing enteropathy strongyloidiasis |
| url | https://journals.lww.com/10.4103/ijpm.ijpm_298_23 |
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