A case of gastric strongyloidiasis in a Korean patient

  • Kim, Jin (Department of Parasitology, College of Medicine, Seonam University) ;
  • Joo, Hyun-Soo (Department of Parasitology, College of Medicine, Seonam University) ;
  • Kim, Doo-Hong (Department of Parasitology, College of Medicine, Seonam University) ;
  • Lim, Ho (Department of Internal Medicine, Gwangju Hospital) ;
  • Kang, Yu-Ho (Department of Internal Medicine, Gwangju Hospital) ;
  • Kim, Myung-Soo (Department of Internal Medicine, Gwangju Hospital)
  • Published : 2003.03.01

Abstract

A 69-year-old Korean man was admitted to emergency room with complaints of abdominal pain, vomiting, and diarrhea, Laboratory tests revealed eosinophilia, anemia, hypoproteinemia, and hyponatremia. The gastric mucosa showed whitish mottled and slightly elevated lesions on the body angle of antrum. Microscopically, chronic gastritis with incomplete intestinal metaplasia was observed. Many adult worms, larvae, and eggs in cross sections were located in the crypts. Furthermore, the filariform larvae of Strongyloides stercoralis with a notched tail were detected through the culture.

Keywords

References

  1. Beaver PC, Jung RC, Cupp EW (1984) Clinical Parasitology. 9th ed. pp. 253-268, Lea & Febiger, Philadelphia, USA.
  2. Berger R, Kraman S, Paciotti M (1980) Pulmonary stronglyoidiasis complicating therapy with corticosteroids. Report of a case with secondary bacterial infections. Am J Trop Med Hyg 29: 31-34.
  3. Berk SL, Verghese A, Alvarez S, Hall K, Smith B (1987) Clinical and epidemiologic features of strongyloidiasis. A prospective study in rural Tennessee. Arch Intern Med 147:1257-1261.
  4. Berkmen YM, Rabinowitz J (1972) Gastrointestinal manifestations of the stongyloidiasis. Am J Roentgenol Radium Ther Nucl Med 115: 306-311.
  5. Garcia LS (2001) Diagnostic Medical Parasitology. 4th ed. pp.787-789, ASM press, Washington DC, USA.
  6. Genta RM (1989) Global prevalence of strongyloidiasis: critical review with epidemiologic insights into the prevention of disseminated disease. Rev Infect Dis 11: 755-767.
  7. Giannella RA, Broitman SA, Zamcheck N (1973) Influence of gastric acidity on bacterial and parasitic enteric infections. Ann Intern Med 78: 271-276.
  8. Hong SJ, Han JH (1999) A case of Strongyloides stercoralis infection. Korean J Parasitol 37: 117-120.
  9. Igra-Siegman Y, Kapila R, Sen P, Kaminski ZC, Louria DB (1981) Syndrome of hyperinfection with Strongyloides stercoralis. Rev Infect Dis 3: 397-407.
  10. Kim YK, Kim H, Park YC, et al. (1989) A case of hyperinfection with Strongyloides stercoralis in an immunosuppressed patient. Korean J Intern Med 4: 165-170.
  11. Lee SH, Kho WG, Kim OK, et al. (1999a) A case of stongyloidiasis associated with acute hemorrhagic gastritis. Korean J Gastrointest Endosc 19: 73-80 (in Korean).
  12. Lee MK, Kim YK, Hwang IS, et al. (1997) A case of Strongyloides stercoralis infection associated with long-term administration of steroid in a patient with alcoholic liver disease. Korean J Gastrointest Endosc 17: 675-679 (in Korean).
  13. Lee SH, Lee KT, Lee JH, et al. (1999b) A case of gastric strongyloidiasis diagnosed by endoscopic biopsy. Korean J Gastrointest Endosc 19: 249-253 (in Korean).
  14. Lee SK, Shin BM, Khang SK, et al. (1994) Nine cases of strongyloidiasis in Korea. Korean J Parasitol 32: 49-52 (in Korean).
  15. Markell EK, John DT, Krotoski WA (1999) Markell and Voge's Medical Parasitology. 8th ed. pp. 287-292, W.B. Saunders Company, Philadelphia, USA.
  16. Nielsen PB, Mojon M (1987) Improved diagnosis of Strongyloides stercoralis by seven consecutive stool specimens. Zentralbl Bakteriol Mikrobiol Hyg 263: 616-618.
  17. Purtilo DT, Meyers WM, Connor DH (1974) Fatal strongyloidiasis in immunosuppressed patients. Am J Med 56: 488-493.
  18. Siddiqui AA, Berk SL (2001) Diagnosis of Strongyloides stercoralis infection. Clin Infect Dis 33: 1040-1047.
  19. Yoon CH, Kim HO, Kim MY, et al. (1997) A case of Strongyloides stercoralis infection of stomach in association with meningitis. Korean J Med 52: 550-553 (in Korean).
  20. Yun HR, Yoo DH, Lee HS, et al. (2001) Fatal strongyloides hyperinfection in a patient with rheumatoid arthritis. Clin Exp Rheumatol 19: 224.
  21. Wurtz R, Mirot M, Fronda G, Peters C, Kocka F (1994) Short report: gastric infection by Strongyloides stercoralis. Am J Trop Med Hyg 51: 339-340.