Surgical perpetuation of serious infection with Strongyloides stercoralis

Zyngier, Felix R.; Lemme, Antonio C.; Pereira, Emília; Leal, Bernardo B.; Liberal, Mariene H.T.

doi:10.1016/0035-9203(83)90182-7

Cited by 4 publications

(2 citation statements)

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“…1,4 Benign and malignant causes, including strictures, tumors, and masses outside the intestinal tract, can also lead to a duodenal obstruction. 1,5,14 In this case, a mass lesion was detected on CT, and a malignant etiology could not be excluded. Therefore, EUS and ERCP were performed to confirm the diagnosis, which revealed a severe edematous mucosa of the duodenal segment causing obstructions and biliary sludge mimicking a cancerous mass.…”

Section: 4mentioning

confidence: 85%

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Rare Complication of Strongyloidiasis in Vietnam: A Case of Venous Thromboembolism and Duodenal Obstruction

Manh,

Tran,

et al. 2023

Korean J Gastroenterol

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Strongyloidiasis, a chronic helminth infection caused by the parasitic nematode Strongyloides stercoralis, has various clinical manifestations. Although rare, duodenal obstructions and venous thromboembolism are possible complications of strongyloidiasis. This paper presents the case of a 47-year-old Vietnamese male with a history of right lower limb edema, anorexia, nausea, vomiting, diarrhea, and abdominal discomfort lasting for four months. Venous Doppler ultrasound detected a thrombus in the right femoral vein, while an abdominal CT scan revealed a mass lesion suggestive of a lower bile duct tumor. Esophageogastroduodenoscopy showed a friable duodenal cap mucosa with multiple ulcers and edematous mucosa of the second part of the duodenum that caused a partial lumen obstruction. The final histological examination of the biopsy specimen revealed chronic duodenitis with larvae consistent with Strongyloides stercoralis. The patient was treated with Ivermectin for two weeks and anticoagulation therapy for three months. After treatment and a six-month follow-up, the patient's gastrointestinal symptoms and leg swelling resolved completely. This is the first documented case of a patient in Vietnam with strongyloidiasis who presented with venous thromboembolism and duodenal obstruction.

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Section: 4mentioning

confidence: 85%

“…[15][16][17][18] Nevertheless, a normal eosinophilic state was observed in some previous cases involving compromised patients because it may vary in chronic situations 1,14,19. In the present case, the patient was admitted to hospital with a thrombosis in the right femoral vein.…”

mentioning

confidence: 99%

Rare Complication of Strongyloidiasis in Vietnam: A Case of Venous Thromboembolism and Duodenal Obstruction

Manh,

Tran,

et al. 2023

Korean J Gastroenterol

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Intestinal mass in a one year old child: An unusual presentation of Strongyloides stercolaris infection. Case report

Aragón

Valero

Jaramillo

2017

Journal of Pediatric Surgery Case Reports

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Efficacy of Ivermectin in the Treatment of Strongyloidiasis Complicating AIDS

Torres

Istúriz

Murillo

et al. 1993

Clinical Infectious Diseases

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Nine adult male homosexuals who were infected with the human immunodeficiency virus (five with AIDS-defining conditions) and harbored Strongyloides stercoralis received ivermectin on a compassionate basis for persistent intestinal infection. Hyperinfection was present in all cases. Ivermectin was given either as a single oral dose (200 micrograms/kg) or on a multidose schedule (200 micrograms/kg.d) on days 1, 2, 15, and 16. All seven patients who received multiple doses showed sustained clinical and parasitological cure, whereas one of two patients who received single-dose therapy relapsed promptly and fatally. Remissions have been maintained for at least 7 months and up to 3 years of follow-up. Ivermectin appears promising in the treatment of strongyloidiasis in patients with AIDS. Because of the risk of hyperinfection and/or disseminated disease, multidose courses are warranted. We are not aware of other reports describing the efficacy of antiparasitic drugs for strongyloidiasis in patients with AIDS.

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Surgical perpetuation of serious infection with Strongyloides stercoralis

Cited by 4 publications

References 1 publication

Rare Complication of Strongyloidiasis in Vietnam: A Case of Venous Thromboembolism and Duodenal Obstruction

Rare Complication of Strongyloidiasis in Vietnam: A Case of Venous Thromboembolism and Duodenal Obstruction

Intestinal mass in a one year old child: An unusual presentation of Strongyloides stercolaris infection. Case report

Efficacy of Ivermectin in the Treatment of Strongyloidiasis Complicating AIDS

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