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Strongyloides stercoralis hyperinfection in an iatrogenically immunosuppressed patient: A case report

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Int J Med Res Health Sci. |

Authors: Shafiq Syed, Ramathilakam B, Prakash, Geetha, Devipriya G
Int J Med Res Health Sci. 2013;2(3):662-665 |  | DOI:10.5958/j.2319-5886.2.3.050

ABSTRACT

 We report a case of Strongyloides stercoralis infection of the stomach in an elderly male patient who was on corticosteroids for six months.  The patient presented with epigastric pain associated loss of appetite and loss of weight. The patient underwent upper endoscopy, and his gastric antral biopsy showed superficial ulcerations of the gastric mucosa with adult worms of Strongyloides stercoralis in the crypts of the gastric antrum.  Stool sample showed the larval forms of Strongyloides. The patient was treated with Ivermectin in a dose of 200µg/kg/day PO for two days, same treatment was repeated after two weeks. Prednisone was tapered and stopped.

 Keywords: Strongyloides stercoralis, ivermectin, prednisone

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