title: Biliary obstruction resulting from Strongyloides stercoralis infection. Report of a case.
abstract: Hepatobiliary manifestations of strongyloidiasis are rare. A case is described of biliary obstruction associated with the presence of Strongyloides stercoralis in the duodenal mucosa and 250 microns rhabditiform larvae in bile. Biliary obstruction resulted from papillary stenosis, which resolved after treatment with thiabendazole. It is proposed that papillary stenosis may be responsible for obstructive jaundice associated with Strongyloides stercoralis infection, and that strongyloidiasis should be added to the causes of papillary stenosis.
authors.affiliation: Service d'Hépatologie, INSERM U24, Clichy, France.
authors.forename: E
authors.initials: E
authors.lastname: Delarocque Astagneau
authors.forename: A
authors.initials: A
authors.lastname: Hadengue
authors.forename: C
authors.initials: C
authors.lastname: Degott
authors.forename: V
authors.initials: V
authors.lastname: Vilgrain
authors.forename: S
authors.initials: S
authors.lastname: Erlinger
authors.forename: J P
authors.initials: JP
authors.lastname: Benhamou
mesh_terms: D000328:Adult; D000818:Animals; D001646:Bile / Q000469:parasitology; D002758:Cholangiography; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D004386:Duodenum / Q000469:parasitology; D005260:Female; D006801:Humans; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013827:Thiabendazole / Q000627:therapeutic use
chemical_list: D013827:Thiabendazole