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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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/346256 |
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| author | Shail Sheth Fady Asslo Rabih Hallit Raymund Sison Muhammad Afridi Robert Spira Joseph DePasquale Jihad Slim Jack Boghossian |
| author_facet | Shail Sheth Fady Asslo Rabih Hallit Raymund Sison Muhammad Afridi Robert Spira Joseph DePasquale Jihad Slim Jack Boghossian |
| author_sort | Shail Sheth |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8e8e0be67bbe4778879154260d4102ea |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8e8e0be67bbe4778879154260d4102ea2025-02-03T05:51:05ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/346256346256Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent IndividualShail Sheth0Fady Asslo1Rabih Hallit2Raymund Sison3Muhammad Afridi4Robert Spira5Joseph DePasquale6Jihad Slim7Jack Boghossian8Department of Internal Medicine, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Internal Medicine, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Gastroenterology, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Gastroenterology, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USADepartment of Infectious Disease, Saint Michael’s Medical Center, Newark, NJ 07102, USAStrongyloidiasis 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.http://dx.doi.org/10.1155/2014/346256 |
| spellingShingle | Shail Sheth Fady Asslo Rabih Hallit Raymund Sison Muhammad Afridi Robert Spira Joseph DePasquale Jihad Slim Jack Boghossian Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual Case Reports in Medicine |
| title | Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual |
| title_full | Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual |
| title_fullStr | Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual |
| title_full_unstemmed | Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual |
| title_short | Strongyloidiasis: The Cause of Multiple Gastrointestinal Ulcers in an Immunocompetent Individual |
| title_sort | strongyloidiasis the cause of multiple gastrointestinal ulcers in an immunocompetent individual |
| url | http://dx.doi.org/10.1155/2014/346256 |
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