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Gastrointestinal hyper infection due to Strongyloides stercoralis in a patient with Behcet’s syndrome

  • Seyed Ziaeddin Tabei
  • Fatemeh Asadian
  • Mahdi FakharEmail author
  • Akbar Safaei
Brief Communication

Abstract

We describe a case of strongyloidiasis in a man with Behcet’s syndrome from Bushehr Province, Southern Iran. The patient, aged 43, had been receiving immunosuppressive therapy (oral prednisone and oral methotroxate) for the last 2 years. He presented with a recent history of diarrhea, constipation, epigastric pain, vomiting, nausea, severe weight loss, chills, fever, and cough. Biochemical and hematological findings were normal. Endoscopy revealed gastroesophageal reflux disease with antral gastritis. Biopsies of small intestine and stomach mucosa revealed severe inflammation and the presence of helminthic parasites in the lumen of mucosal glands of duodenum and antrum. The patient tolerated and responded well to treatment with thiabendzole.

Keywords

Strongyloides stercoralis Behcet’s syndrome Hyperinfection 

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Copyright information

© Springer-Verlag London Limited 2008

Authors and Affiliations

  • Seyed Ziaeddin Tabei
    • 1
  • Fatemeh Asadian
    • 4
  • Mahdi Fakhar
    • 2
    • 3
    Email author
  • Akbar Safaei
    • 1
  1. 1.Department of Pathology, School of MedicineShiraz University of Medical SciencesShirazIran
  2. 2.Department of Parasitology and Mycology, School of MedicineMazandaran University of Medical SciencesSariIran
  3. 3.Molecular and Cellular Biology Research Center, School of MedicineMazandaran University of Medical SciencesSariIran
  4. 4.Department of Pathology, School of MedicineFasa University of Mecidical SciencesFasaIran

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