A Case of Multiple Gastrointestinal Ulcer: A Rare Presentation of Strongyloidiasis

Authors

  • Aysha Begum Junior Consultant (Medicine), Upazila Health Complex, Keraniganj, Dhaka
  • Md Titu Miah Principal and Professor of Medicine, Dhaka Medical College, Dhaka
  • Maleka Ali Medical Officer, National Institute of Kidney and Urology, Dhaka
  • Mohammad Shamsul Arefin Patwary Asstt. Professor of Medicine, Dhaka Medical College, Dhaka
  • Jishu Das Assistant surgeon, Upazila Health Complex, Sadar, Noakhali
  • Mirza Mohammad Asif Adnan Asstt. Registrar of Medicine, Dhaka Medical College, Dhaka
  • Refat Al Imon Registrar of Medicine, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v31i1.65491

Keywords:

Gastric outlet obstruction, Hyperinfection, Intestinal metaplasia, Srongyloides stercolaris

Abstract

Strongyloides stercolaris is a common intestinal nematode in tropical and subtropical countries like Bangladesh. The presentation of this infection is nonspecific. Mostly it remains asymptomatic with peripheral eosinophilia. Immunocompromised individuals are at high risk of hyper infection to disseminated disease. We present a case of Strongyloides in an immunocompetent patient with features of gastric outlet obstruction. Laboratory findings revealed hypereosinophilia with multiple gastrointestinal ulcers on endoscopy. Biopsy was taken from a gastric ulcer which revealed ulceration and dense infiltration of acute and chronic inflammatory cells along with extensive intestinal metaplasia. There were tiny helminthic bodies within the mucosal glands and on the surface consistent with Strongyloides stercoralis. Routine examination of stool also revealed larvae of Strongyloides stercolaris.

J Dhaka Med Coll. 2022; 31(1) : 163-166

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Published

2023-05-03

How to Cite

Begum, A. ., Miah, M. T. ., Ali, M. ., Patwary, M. S. A. ., Das, J. ., Adnan, M. M. A. ., & Imon, R. A. . (2023). A Case of Multiple Gastrointestinal Ulcer: A Rare Presentation of Strongyloidiasis. Journal of Dhaka Medical College, 31(1), 163–166. https://doi.org/10.3329/jdmc.v31i1.65491

Issue

Section

Case Reports