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9. Duodenal mucosal nodularity in Strongyloides stercoralis infection.

Author

Somani SK, Goyal R, and Awasthi G

Subjects
Animals, Antiparasitic Agents therapeutic use, Duodenal Diseases drug therapy, Duodenal Diseases pathology, Duodenum pathology, Endoscopy, Humans, Ivermectin therapeutic use, Male, Strongylida Infections parasitology, Strongyloides stercoralis isolation & purification, Young Adult, Duodenal Diseases diagnosis, Duodenal Diseases parasitology, Strongylida Infections diagnosis, Strongylida Infections drug therapy
Abstract

A 22-year-old man presented with a two-year history of colicky upper abdominal and dyspnoea. His absolute eosinophil count (AEC) was 980/mm3. Chest x-ray revealed hilar prominence. An upper gastrointestinal endoscopy showed marked oedema and nodularity of duodenal mucosal folds. Duodenal biopsy disclosed heavy lymphoplasmacytic infiltrates in the lamina propria and sheets of eosinophils and rhabdtiform larvae of Strongyloides stercoralis in the crypts. The patient was not on steroids and his HIV ELISA was nonreactive. His IgG ELISA for Strongyloides stercoralis was positive. Nodular duodenal mucosa may thus be seen with Strongyloides stercoralis infection.

Published
2009

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