Strongylodiasis infestation in a non-endemic area

Abstract

Strongiloides stercolaris may reside in the intestinal wall asymptomatically for decades and flare up when immunosuppression ensues. We report the case of a patient with hypereosinophilia of unknown origin in whom systemic strongyloidiasis was diagnosed after a course of steroids. The disease presented with recurrent meningitis and duodenal obstruction, and was treated uneventfully with Ivermectine. Probably the parasite was acquired during his stay in Venezuela twenty-seven years before.

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

“…DOD [ 37 ] 45 ♀ None Antrum Ulcerative colitis on corticosteroids Cured with albendazole (800 mg/ day/10 days [ 38 ] 35 ♂ Ni Paroxysmal nocturnal haemoglobinuria Albendazole 400 mg twice/day/ 7 days. Died of septicaemia 43 ♂ Ni A HIV + , diffuse large B-cell lymphoma treated with CHT Improved with albendazole [ 39 ] 68 ♂ Duodenum Diffuse None Cured with ivermectine [ 40 ] 34 ♀ Duodenum Nr SLE treated with corticosteroids and cyclophosphamide Cured with ivermicine 200 µg/day/9 days [ 41 ] 37 ♀ Nr Corpus None No FU [ 42 ] 5 ♂ Ileum, colon, lung Diffuse Marasmic kwashiorkor Died [ 43 ] 81 ♂ Duodenum Nr Arterial hypertension, diabetes mellitus, early gastric cancer …”