Volume 22, Issue 3 (November 2008 2008)                   Med J Islam Repub Iran 2008 | Back to browse issues page


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Froutan H, Bayatian A, Razavizadeh S M, Nasiri-Toosi M, Shafaghi A. Significant weight loss, nausea, and vomiting due to strongyloidiasis:a case report. Med J Islam Repub Iran. 2008; 22 (3) :149-151
URL: http://mjiri.iums.ac.ir/article-1-8-en.html

Assistant Professor of Internal Medicine, Internal Medicine Ward, Imam Khomeini Hospital, Tehran, Iran. , bayatian@yahoo.com.
Abstract:   (3541 Views)

  Abstract

  Strongyloidiasis is caused by infestation with Strongyloides stercoralis, a free

  living tropical and semitropical soil helminth that has a larval form that penetrates

  intact skin. Clinical manifestations may be varied from an asymptomatic infection

  in immunocompetent hosts to a diffuse and fatal form in immunocompromised

  hosts.

  We report a 56-year-old man from Dezful (south-west of Iran) with a 6-month

  history of nausea, vomiting and significant weight loss (greater than 10%). Abdominal

  ultrasonography had no significant findings. Upper gastrointestinal series and

  abdominal CT were performed. Dilated bowel loops especially in the jejunum, with

  decreased mucosal folds were seen. Abiopsy specimen from the third part of duodenum

  showed strongyloides larvae, thus albendazole 400 mg twice a day for 3

  days was initiated. He responded well to this treatment regimen.

 

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