Gastroduodenal strongyloidiasis infection causing protein-losing enteropathy: A case report and review of the literature

Wang, Yating; Zhang, Xuequn

doi:10.1016/j.heliyon.2023.e18094

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…This is because the diagnosis of the causative disease is determined by excluding other causes of edema, malabsorption, and hypoalbuminemia and requires many tests; even when the causative disease is diagnosed, it often does not improve without treatment, and long-term symptom management is necessary [6]. Strongyloidiasis is endemic to Amami Oshima Island, and we encountered another case in which protein-leaking gastroenteropathy-like symptoms were found to be symptoms of strongyloidiasis on examination with invasive testing; in fact, several similar cases have been reported [7,8]. If strongyloidiasis is suspected, a diagnosis can be made, and the treatment is simple.…”

Section: Discussionmentioning

confidence: 86%

Successful Prompt Diagnosis of Strongyloidiasis in an Outpatient Setting at Amami Oshima Island in Japan: A Case Report

Chinen,

Kameyama,

Minami

2024

Cureus

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Strongyloidiasis is a parasitic infection caused by the nematode Strongyloides stercoralis that presents with a variety of nonspecific symptoms. Diagnosis is challenging unless physicians suspect this disease and perform sensitivity tests. We report a case of strongyloidiasis with protein-losing gastroenteropathy-like symptoms in a 92-year-old Japanese female with lower extremity edema and hypoalbuminemia. In this case, the patient refused invasive tests for a complete examination; however, an agar plate culture of a stool sample was used to diagnose strongyloidiasis. The patient was treated with ivermectin during the second visit. One month later, leg edema and hypoproteinemia improved. When the cause of the symptoms is unclear, physicians should be aware of the possibility of strongyloidiasis in a person residing in a tropical or subtropical environment, where human feces are used as fertilizer and individuals frequently go barefoot in agricultural settings.

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Section: Discussionmentioning

confidence: 86%

Successful Prompt Diagnosis of Strongyloidiasis in an Outpatient Setting at Amami Oshima Island in Japan: A Case Report

Chinen,

Kameyama,

Minami

2024

Cureus

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Pulmonary thromboembolism—a rare presentation for Strongyloides hyperinfection in an immunocompetent patient

Ali,

Rakshit,

Sarkar

et al. 2024

Oxford Medical Case Reports

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Strongyloides stercoralis is an intestinal nematode. It is widely distributed in the tropics and sub-tropics of the world. It can cause a wide array of illnesses ranging from asymptomatic autoinfection to a severe form of hyperinfection and disseminated strongyloidiasis. Here we report a case of a 73-year-old patient presenting with obstructive shock with bipedal edema without any evidence of adrenal insufficiency. An upper gastrointestinal endoscopy revealed Strongyloides larva in the lumen of duodenal crypts. Stool examination and broncho-alveolar lavage revealed the presence of S. stercoralis larva. Computed tomography of pulmonary angiography revealed pulmonary thromboembolism. A long segment thrombus was also noted in the right external iliac vein on color Doppler with negative screening for malignancy on computed tomography scan. This case suggests that pulmonary thromboembolism with anemia and hypoalbuminemia could be a rare presentation of a systemic illness like Strongyloides hyperinfection in an immunocompetent patient from the tropics.

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Strongyloides stercoralis infection presenting as protein losing enteropathy

Agael,

Samuel,

King

2024

Int. J. of Health Sci.

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Strongyloides sterocoralis infection poses significant diagnostic challenges, particularly in resource-limited settings where the condition is most prevalent. We present a young male in South Africa who developed a protein-losing enteropathy secondary to Strongyloides hyperinfection, making the first reported presentation of this kind in South Africa. The broad spectrum of potential clinical manifestations complicates this treatable condition's prompt recognition and diagnosis. Despite its therapeutic simplicity, data indicates that the prevalence of Strongyloides infection is significantly overlooked and underreported, highlighting the need for increased clinical awareness and improved diagnostic capabilities in endemic regions.

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Gastroduodenal strongyloidiasis infection causing protein-losing enteropathy: A case report and review of the literature

Cited by 3 publications

References 19 publications

Successful Prompt Diagnosis of Strongyloidiasis in an Outpatient Setting at Amami Oshima Island in Japan: A Case Report

Successful Prompt Diagnosis of Strongyloidiasis in an Outpatient Setting at Amami Oshima Island in Japan: A Case Report

Pulmonary thromboembolism—a rare presentation for Strongyloides hyperinfection in an immunocompetent patient

Strongyloides stercoralis infection presenting as protein losing enteropathy

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