Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
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URL: http://mjiri.iums.ac.ir/article-1-8-en.html
, Ayatollah Bayatian , Seied Mohsen Razavizadeh , Mohsen Nasiri-Toosi , Afshin Shafaghi
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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