International Journal of Medical Research & Health Sciences

  • Year: 2013
  • Volume: 2
  • Issue: 3

Strongyloides stercoralis hyperinfection in an iatrogenically immunosuppressed patient: A case report

  • Author:
  • Shafiq Syed1,, Ramathilakam B2, Prakash , Geetha 3, Devipriya G4
  • Total Page Count: 4
  • Page Number: 662 to 665

1DM Resident, Department of Medical Gastroenterology, Meenakshi Medical College and Research Institute, Enathur, Kanchipuram

2Professor and HOD, Department of Medical Gastroenterology, Meenakshi Medical College and Research Institute, Enathur, Kanchipuram

3Professor and HOD, Department of Pathology, Meenakshi Medical College and Research Institute, Enathur, Kanchipuram

4Postgraduate student, Department of Pathology, Meenakshi Medical College and Research Institute, Enathur, Kanchipuram

Abstract

We report a case of Strongyloides stercoralis infection of the stomach in an elderly male patient who was on corticosteroids for six months. The patient presented with epigastric pain associated loss of appetite and loss of weight. The patient underwent upper endoscopy, and his gastric antral biopsy showed superficial ulcerations of the gastric mucosa with adult worms of Strongyloides stercoralis in the crypts of the gastric antrum. Stool sample showed the larval forms of Strongyloides. The patient was treated with Ivermectin in a dose of 200μg/kg/day PO for two days, same treatment was repeated after two weeks. Prednisone was tapered and stopped.

Keywords

Strongyloides stercoralis, ivermectin, prednisone