title: Disseminated Strongyloidiasis in an Iranian Immunocompromised Patient: A Case Report.
abstract: Strongyloides stercoralisis a soil-transmitted helminth (STH) widespread in various part of the world. A 78-yr-old peasant diabetic female from Mazandaran Province northern Iran, was admitted to Infection Department of the Razi Hospital in city of Qaemshahr, north of Iran complaining about abdominal skin rash, pruritus, itching, anorexia, nausea, vomiting, dysuria and cough. This patient had cutaneous migration effects ofS. stercoralislarvae in her abdominal skin (larva currents and urticaria). Lung CT without contrast demonstrate s bilateral diffuse ground glass opacity draws attention. Upper gastrointestinal endoscopy revealed gastro esophageal reflux with antral gastritis. Duodenal endoscopy showed unusual mucosa and a biopsy from it sent to the pathology laboratory. Histopathology of duodenal bulb and duodenum biopsy showed mild villous atrophy andS. stercoralisinfection. The patient was treated with albendazole and clinical sings improved completely after treatment. Strongyloidiasis should be carefully considered by clinicians who practice in endemic areas. Clinicians must keep a high level of skepticism for patients from endemic area.
authors.affiliation: Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Narges
authors.initials: N
authors.lastname: Najafi
authors.affiliation: Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Eissa
authors.initials: E
authors.lastname: Soleymani
authors.affiliation: Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Shahabeddin
authors.initials: S
authors.lastname: Sarvi
authors.affiliation: Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Amirkeivan
authors.initials: A
authors.lastname: Marofi
authors.affiliation: Department of Pathology Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Anahita
authors.initials: A
authors.lastname: Nosrati
authors.affiliation: Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Davoodi
keywords: Immunocompromise; Iran; Strongyloides stercoralis