Atypical gastric presentation of strongyloidiasis in HIV-infected patient—case report

Gastric perforation caused by Strongyloides stercoralis: a case report

“…[2][3][4][5][6]8] It is reported that gastrointestinal involvement is commonly seen in patients with immunodeficiency, but Thompson et al [7] reported two cases that were immunocompetent. [1,7,9] We investigated the immunological status of our patient, after the pathologic examination revealed S. stercoralis, and found that she was not immunocompromised. Further analyses for possible human immunodeficiency virus (HIV) infection were also negative.…”

“…[1,2,7,[9][10][11] Clinically, gastric involvement causes symptoms such as epigastric pain and tenderness, nausea and vomiting. [1,3,6,7] All these also existed in the history of our patient. She received medical treatment for a suspected gastritis.…”

“…Reported endoscopic features for gastritis strongyloidiasis are small ulcerations and antral erythema and edema of the antrum, pylorus and duodenum. [1,7] S. stercoralis (filariform larvae) is fo- Fig. 1.…”

“…[1,6,7] It is widely distributed throughout tropical and subtropical regions of the world. Risk groups for acquiring the infection include residents and travelers to Southern, Eastern and Central Europe, Latin America, sub-Saharan Africa, and the Caribbean islands.…”

“…It is mainly a dermatologic and gastrointestinal disease. [1][2][3][4][5] We report herein a case of gastric perforation caused by S. stercoralis.…”