Gastroduodenal involvement in disseminated strongyloidiasis

Minamide, Tatsunori; Fukushima, Masashi; Inokuma, Tetsurou

doi:10.1002/jgh3.12041

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…The case we described had gastric strongyloidiasis as part of his disseminated strongyloidiasis. Cases of disseminated strongyloidiasis with gastroduodenal involvement, including multiple granular lesions, ulcerations, and even duodenal obstruction, have been reported in the literature [ 9 , 10 ]. However, this is the first case of disseminated strongyloidiasis in which a patient presented with an ulcerated gastric mass and iron deficiency anemia.…”

Section: Discussionmentioning

confidence: 99%

A Case of Ulcerated Gastric Mass and Anemia due to Strongyloidiasis

Ahmed

Singer

Kelly

et al. 2020

Case Reports in Gastrointestinal Medicine

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Strongyloidiasis is an intestinal infection caused by the nematode Strongyloides, and it is rarely seen in our clinical practice in the United States. Although it remains localized to the gastrointestinal tract most of the time, it can disseminate to other organs when it causes autoinfection in the setting of immunosuppression. The clinical manifestations vary depending on the involved organ. A case of disseminated strongyloidiasis presenting as a case of ulcerated gastric mass and anemia is described here along with a review of the literature on this condition.

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Section: Discussionmentioning

confidence: 99%

A Case of Ulcerated Gastric Mass and Anemia due to Strongyloidiasis

Ahmed

Singer

Kelly

et al. 2020

Case Reports in Gastrointestinal Medicine

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“…1 Patients may benefit from either serology or tissue biopsy during EGD for patients whom a physician has a high suspicion may be infected with Strongyloides . 6 Patients with eosinophilia either immigrating from or recently traveling from an endemic region should receive a stool microscopy test, serological test, or EGD with biopsy to look for Strongyloides infection before starting steroids because of the high risk of fatality due to hyperinfection with steroid use. Eosinophilia can be obscured by corticosteroid courses, as seen in this patient.…”

Section: Discussionmentioning

confidence: 99%

Strongyloides stercoralis Hyperinfection Syndrome as a Cause of Fatal Gastrointestinal Hemorrhage

Rao

Tsai

et al. 2019

ACG Case Rep J

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Strongyloides stercoralis is a small intestinal nematode that is widespread in regions with poor sanitation. We present a 57-year-old man from Colombia who was undergoing corticosteroid therapy for a meningioma who presented after neurosurgery with abdominal pain and a profound gastrointestinal (GI) bleed. The patient underwent an esophagogastroduodenoscopy (EGD), an attempted embolization, and an exploratory laparotomy to remove the necrosed duodenum. His pathology examination revealed Strongyloides infection of the duodenum, and he died of profound blood loss. This rare diagnosis displays the importance of screening patients at a high risk of Strongyloides infection before starting glucocorticoid therapy.

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Is Gastric Involvement by Strongyloides stercoralis in an Immunocompetent Patient a Common Finding? A Case Report and Review of the Literature

et al. 2021

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Purpose Gastric infection with Strongyloides stercoralis (SS) usually occurs in immunocompromised patients. The unexpected observation of this parasite in an otherwise healthy young lady who had undergone upper endoscopy and biopsy sampling of the gastro-duodenal mucosa, prompted us to review the literature to ascertain the conditions favouring gastric colonization by SS. Methods Pathology files of gastroduodenal biopsies received at St. Mary’s hospital, Northern Uganda, between 2007 and 2017 were reviewed. Pubmed search was performed under the headings “Strongyloides stercoralis”, “Gastric parasitosis”. Results Histology of the only gastroduodenal biopsy with SS infection showed parasite eggs, immature rhabditiform larvae, and numerous adult worms in gastric pits and rhabditiform larvae in interepithelial parasitic tunnels, causing reactive changes of the glandular epithelium. There was no significant acute inflammatory cell infiltrate surrounding the parasites. Literature review showed that gastric SS infection appears to be very uncommon and was, as expected, largely prevalent in immunodeficient individuals (84.2% of published cases). The rare gastric SS infection is a complication of systemic strongyloidiasis, either hyperinfective, or disseminated form. It is also commonly associated with duodenal infection at microscopical examination. Conclusion Involvement of gastric mucosa in the absence of duodenal strongyloidiasis appears to be quite rare and false-negative histopathological exams are reported if only the stomach is biopsied.

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Gastroduodenal involvement in disseminated strongyloidiasis

Cited by 4 publications

References 3 publications

A Case of Ulcerated Gastric Mass and Anemia due to Strongyloidiasis

A Case of Ulcerated Gastric Mass and Anemia due to Strongyloidiasis

Strongyloides stercoralis Hyperinfection Syndrome as a Cause of Fatal Gastrointestinal Hemorrhage

Is Gastric Involvement by Strongyloides stercoralis in an Immunocompetent Patient a Common Finding? A Case Report and Review of the Literature

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