Duodenal mucosal nodularity in Strongyloides stercoralis infection.
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.
Somani
Sanjay Kumar
SK
Department of Gastroenterology, SPS Apollo Hospitals, Ludhiana, Punjab, India. sanjayksomani@rediffmail.com
Goyal
Richa
R
Awasthi
Gurcharan
G
D000818:Animals; D000977:Antiparasitic Agents / Q000627:therapeutic use; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D004386:Duodenum / Q000473:pathology; D004724:Endoscopy; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D017206:Strongylida Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000469:parasitology; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D055815:Young Adult
D000977:Antiparasitic Agents; D007559:Ivermectin