Strongyloidiasis associated with amebiasis and giardiaisis in an immunocompetent boy presented with acute abdomen

Abstract

Strongyloides stercoralis (SS) is an intestinal nematode that is mainly endemic in tropical and subtropical regions and sporadic in temperate zones. SS infection frequently occurs in people who have hematologic malignancies, HIV infection and in individuals undergoing immunosuppressive therapy. In this study, we report a 12- year-old immunocompetent boy who was admitted to our hospital with acute abdomen. Laboratory evaluation showed strongyloidiasis, amebiasis and giardiasis. Clinical and laboratory findings immediately improved with albendazole therapy. Therefore, when diarrhea with signs of acute abdomen is observed, stool examinations should be done for enteroparasitosis. This approach will prevent misdiagnosis as acute abdomen. Complete clinical improvement is possible by medical therapy without surgical intervention.

Prevalence of Intestinal Protozoan Parasites Infection among Primary School Pupils in Bosso Local Government Area, Niger State, Nigeria

“…The intestinal protozoa are widely distributed and infections usually vary according to immunity, region and age. An increase in the incidence of these infections is evident in low socio-economic communities with poor sanitation (8). One hundred and thirty six (54.4%) subjects out of the 250 subjects investigated were found to be infected with either E. histolytica or G. Lamblia.…”

Strongyloides hyper Infection in an Immunocompetent Adult: A Case Report and Short Review

“…Strongyloides co-infection with amoebiasis and giardiasis was also reported in a child (Dinleyici et al, 2003). Disseminated strongyloidiasis and pancolitiswere also reported in individuals who showed no evidence of immunosuppression.…”

Disseminated strongyloides infection with Enterobius vermicularis and Streptococcus faecalis in an immunocompetent teenage UK resident

“…Severe abdominal pain has been well documented with strongyloides and enterobiasis [5,6,14,16] and is possibly caused by a high nematode load. Several case reports that document stongyloides infection presenting as an acute abdomen, appendicitis and non-specific abdominal pain comment on the presence of a high nematode load [5,7] There is some literature reporting invasive E. vermicularis infection [16][17][18]. This would be the most common worm infection in the UK but the features do not appear consistent with invasive disease.…”

“…Both Enterobius vermicularis and urinary tract infections are common in the UK. Many reports in the literature document the unusual presentation of strongyloides when masked by other illnesses [3][4][5][6][7][8]. The contribution of these diagnoses to her clinical presentation is discussed.…”