Strongyloidiasis: a diagnosis more common than we think

European Journal of Gastroenterology & Hepatology
Charles Philip KoczkaFrank Gress

Abstract

Strongyloides stercoralis is endemic to many tropical regions; however, there is limited knowledge concerning the clinical implication of this helminth, particularly in urban medical centers. We report a case series of strongyloidiasis in our urban medical center in New York City. Patients over the age of 18 years who were examined in our institution from January 1998 to May 2011 were identified by electronic medical record search using International Classification of Diseases, 9th Revision codes. We identified 22 cases of S. stercoralis. Eleven patients were men and 11 were women, with the average age at diagnosis being 62.4 years. Fourteen patients emigrated from the Caribbean, one from Nepal, five were blacks born in the USA, and two did not have their birthplace documented. The main presenting complaints were diarrhea (9/22), abdominal pain (6/22), vomiting (7/22), and weight loss (8/22). Seventeen patients demonstrated eosinophilia. Four patients were positive for human T-lymphotropic virus-1 antibodies, and three patients were infected with HIV. Diagnosis was made with stool examination (19/22), bronchoalveolar lavage (1/22), gastric biopsy (1/22), and duodenal biopsy (3/22). Among six patients who had upper endoscopy per...Continue Reading

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Citations

May 31, 2014·PLoS Neglected Tropical Diseases·Nágilla Daliane FelicianoJulia Maria Costa-Cruz
Jun 13, 2014·PLoS Neglected Tropical Diseases·Virak KhieuPeter Odermatt
Jun 3, 2014·Parasites & Vectors·Virak KhieuPeter Odermatt
Nov 7, 2017·The Korean Journal of Parasitology·Phasouk SenephansiriThidarut Boonmar
Feb 22, 2018·Advances in Anatomic Pathology·Eric U YeeJeffrey D Goldsmith

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