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A case of fatal gastrointestinal haemorrhage due to hyperinfection with Strongyloides stercoralis

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Abstract

Strongyloides stercoralis is an intestinal nematode with a complex life cycle. It is usually asymptomatic in healthy host however it may be a life threatening condition in immunocompromised patients when hyperinfection is associated with disseminated disease. However, reports of gastric involvement are rare. This is a case report of fatal gastrointestinal hemorrhage due to hyperinfection with S. stercoralis in a Burmawi male patient after brief corticosteroid therapy.

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References

  • Abdelrahman MZ, Zeehaida M, Rahmah N, Norsyahida A, Madihah B, Azlan H et al (2012) Fatal septicemic shock associated with Strongyloides stercoralis infection in a patient with angioimmunoblastic T-cell lymphoma: a case report and literature review. Parasitol Int 61(3):508–511

    Article  CAS  PubMed  Google Scholar 

  • Adedayo O, Grell G, Bellot P (2002) Hyperinfective strongyloidiasis in the medical ward. South Med J 95:711–716

    Article  PubMed  Google Scholar 

  • Agrawal V, Agarwal T, Ghoshal UC (2009) Intestinal strongyloidiasis: a diagnosis frequently missed in the tropics. Trans R Soc Trop Med Hyg 103:242–246

    Article  PubMed  Google Scholar 

  • Al-Hasan MN, McCormick M, Ribes JA (2007) Invasive enteric infections in hospitalized patients with underlying strongyloidiasis. Am J Clin Pathol 128:622–627

    Article  PubMed  Google Scholar 

  • Al-Madani AA, Mahfouz AA (1995) Prevalence of intestinal parasitic infections among Asian female house keepers in Abha District, Saudi Arabia. Southeast Asian J Trop Med Public Health 26:135–137

    CAS  PubMed  Google Scholar 

  • Al-Sajee DM, Al-Hamdani A (2010) A case of gastric and duodenal strongyloidiasis. Sultan Qaboos Univ Med J. 10(2):262–265

    PubMed  PubMed Central  Google Scholar 

  • Bhatt BD, Cappell MS, Smilow PC, Das KM (1990) Recurrent massive upper gastrointestinal hemorrhage due to Strongyloides stercoralis infection. Am J Gastroenterol 85(8):1034–1036

    CAS  PubMed  Google Scholar 

  • Fortun J, Velez RL, Norman F, Montes de Oca M, Zamarron P et al (2008) Transmission of tropical and geographically restricted infections during solid-organ transplantation. Clin Microbiol Rev 21:60–96

    Article  PubMed  PubMed Central  Google Scholar 

  • Getaneh A, Medhin G, Shimelis T (2010) Cryptosporidium and Strongyloides stercoralis infections among people with and without HIV infection and efficiency of diagnostic methods for Strongyloides in Yirgalem Hospital, southern Ethiopia. BMC Res Notes 3:90

    Article  PubMed  PubMed Central  Google Scholar 

  • Ghosh K, Ghosh K (2007) Strongyloides stercoralis septicaemia following steroid therapy for eosinophilia: report of three cases. Trans R Soc Trop Med Hyg 101:1163–1165

    Article  PubMed  Google Scholar 

  • Keiser PB, Nutman TB (2004) Strongyloides stercoralis in the immunosuppressed population. Clin Microb Rev. 17:208–217

    Article  Google Scholar 

  • Newberry AM, Williams DN, Stauffer WM, Boulware DR, Hendel-Paterson BR, Walker PF (2005) Strongyloides hyperinfection presenting as acute respiratory failure and gram-negative sepsis. Chest 128:3681–3684

    Article  PubMed  PubMed Central  Google Scholar 

  • Patel PK, Khandekar R (2006) Intestinal parasitic infections among school children of Dhahira Region of Oman. Saudi Med J 27:627–632

    PubMed  Google Scholar 

  • Romero-Cabello R, Villagroy Gómez J, Hernández González M, Romero Feregrino R (2012) Hyperinfection with Strongyloides stercoralis. BMJ Case Rep. doi:10.1136/bcr-2012-006819

    Google Scholar 

  • Sebastian Anitha, Muttath Radhika, Madhavan Indira, Thomas Vinu (2014) A case of Strongyloides hyperinfection syndrome. Trop J Med Res 17(2):140–142

    Article  Google Scholar 

  • Shea YF, Chau KM, Hung IF, Chu LW (2013) Strongyloidiasis in a nonagenarian who previously worked in conservancy services. Hong Kong Med J 19:74–76

    Article  CAS  PubMed  Google Scholar 

  • Shormana M, Al-Tawfiq JA (2009) Strongyloides stercoralis hyperinfection presenting as acute respiratory failure and Gram-negative sepsis in a patient with astrocytoma. Int J Infect Dis 13(5):e288–e291

    Article  Google Scholar 

  • Uday Gokhale A, Rajasekharan Pillai G, Al-Mammari Said, Al-Layla Dhia (2010) Hyperinfection by Strongyloides Stercoralis. Oman Med J. doi:10.5001/omj.2010.47

    Google Scholar 

  • Vitiello M, Shelling M, Camacho I, Milikowski C, Kerdel FA (2011) Fatal cutaneous Strongyloidiasis as a side effect of pemphigus foliaceus treatment with mycophenolate mofetil. J Drugs Dermatol 10(4):418–421

    PubMed  Google Scholar 

  • Walker M, Zunt JR (2005) Parasitic central nervous system infections in immunocompromised hosts. Clin Infect Dis 40:1005–1015

    Article  PubMed  PubMed Central  Google Scholar 

  • Yung EE, Lee CM, Boys J, Grabo DJ, Buxbaum JL, Chandrasoma PT (2014) Strongyloidiasis hyperinfection in a patient with a history of systemic lupus erythematosus. Am J Trop Med Hyg 91(4):806–809

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Parasitology Department, Faculty of Medicine, Assuit University, Assuit, Egypt

    Dina Abdallah Zaghlool

  2. Laboratory Consultant of Medical Parasitology, Al-Noor Specialist Hospital, Makkah, Saudi Arabia

    Dina Abdallah Zaghlool

  3. Department of Pathology, Faculty of Medicine, Al-Azhar University (Girls), Cairo, Egypt

    Amal Ali Hassan

  4. Consultant Histopathology, Al-Noor Specialist Hospital, Makkah, Saudi Arabia

    Amal Ali Hassan

  5. Microbiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

    Asmaa Moustafa Moustafa

  6. Laboratory Specialist of Microbiology, Al-Noor Specialist Hospital, Makkah, Saudi Arabia

    Asmaa Moustafa Moustafa

  7. Department of Hepatology, Gastroenterology and Infectious Disease, Benha Faculty of Medicine, Benha University, Benha, Egypt

    Wael Ahmed Shahin

  8. Consultant Hepatology, Gastroenterology and Infectious Disease, Al-Noor Specialist Hospital, Makkah, Saudi Arabia

    Wael Ahmed Shahin

Authors
  1. Dina Abdallah Zaghlool
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  2. Amal Ali Hassan
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  3. Asmaa Moustafa Moustafa
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  4. Wael Ahmed Shahin
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Correspondence to Dina Abdallah Zaghlool.

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Zaghlool, D.A., Hassan, A.A., Moustafa, A.M. et al. A case of fatal gastrointestinal haemorrhage due to hyperinfection with Strongyloides stercoralis . J Parasit Dis 40, 1347–1350 (2016). https://doi.org/10.1007/s12639-015-0687-8

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  • DOI: https://doi.org/10.1007/s12639-015-0687-8

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