Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
권호 표지

Strongyloidiasis associated with amebiasis and giardiaisis in an immunocompetent boy presented with acute abdomen

  • Dinleyici, Ener-Cagry (Department of Pediatrics, Osmangazi University, Faculty of Medicine) ;
  • Dogan, Nihal (Department of Microbiology, Osmangazi University, Faculty of Medicine) ;
  • Ucar, Birsen (Department of Pediatrics, Osmangazi University, Faculty of Medicine) ;
  • Ilhan, Huseyin (Department of Pediatric Surgery, Osmangazi University, Faculty of Medicine)
  • Published : 2003.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

Strongyloides stercoralis (SS) is an intestinal nematode that is mainly endemic in tropical and subtropical regions and sporadic in temperate zones. SS infection frequently occurs in people who have hematologic malignancies, HIV infection and in individuals undergoing immunosuppressive therapy. In this study, we report a 12year-old immunocompetent boy who was admitted to our hospital with acute abdomen. Laboratory evaluation showed strongyloidiasis, amebiasis and giardiasis. Clinical and laboratory findings immediately improved with albendazole therapy. Therefore, when diarrhea with signs of acute abdomen is observed, stool examinations should be done for enteroparasitosis. This approach will prevent misdiagnosis as acute abdomen. Complete clinical improvement is possible by medical therapy without surgical intervention.

Keywords

References

  1. Atkins NS, Lindo JF, Lee MG, et al. (1997) Humoral responses in human strongyloidiasis: correlations with infection chronicity. Trans R Soc Trop Med Hyg 91: 609-613.
  2. Bannon JP, Fater M, Solit R (1995) Intestinal ileus secondary to Strongyloides stercoralis infection: case report and review of the literature. Am Surg 61: 377-380.
  3. Burke JA (1978) Strongyloidiasis in childhood. Am J Dis Child 132: 1130-1136.
  4. Datry A, Hilmarsdottir I, Mayorga-Sagastume R, et al. (1994) Treatment of Strongyloides stercoralis infection with ivermectin compared with albendazole: result of an open study of 60 cases. Trans R Soc Trop Med Hyg 88: 344-345.
  5. Daubenton JD, Buys HA, Hartley PS (1998) Disseminated strongyloidiasis in a child with lymphoblastic lymphoma. J Pediatr Hematol Oncol 20: 260-263.
  6. Fisher D, McCarry F, Currie B (1993) Strongyloidiasis in the northern territory, under recognised and under treated? Med J Aust 159: 88-90.
  7. Gann PH, Neva FA, Gam AA (1994) A randomised trial of single and two-dose ivermectin versus thiabendazole for treatment of strongyloidasis. J Infect Dis 169: 1076-1079.
  8. Graeff-Teixeira C, Leite CS, Sperhacke CL, et al. (1997) Prospective study of strongyloidosis in patients with hematologic malignancies. Rev Soc Bras Med Trop 30:355-357.
  9. Hokelek M, Sunbul M, Kaya N (1998) Ulseratif kolitli bir hastada Entamoeba histolytica ve Strongyloides stercoralis infeksiyonu (A patient with the diagnosis of ulcerative colitis presenting with Entamoeba histolytica and Strongyloides stercoralis infection). Flora 3: 263-266 (in Turkish).
  10. Karolyi Z, Eros N, Kriston R (1999) Cutaneous manifestations of strongyloidosis. Orv Hetil 140: 191-194.
  11. Katz M (1999) The nematodes. In Principles and practice of pediatrics, Oski FA (ed). p1408-1416. 2nd ed. Lippincott Company, Philadelphia.
  12. Kobayashi J, Hasegawa H, Soares EC, et al. (1996) Studies on prevalance of Strongyloides infection in Holambro and Maceio, Brazil, by the agar plate faecal culture method. Rev Inst Med Trop Sao Paolo 38: 279-284.
  13. Lee SK, Shin BM, Khang SK, Chai YJ, et al. (1994) Nine cases of strongyloidiasis in Korea. Korean J Parasitol 32: 49-52.
  14. Munoz LE, Botello MA, Carrillo O, Martinez AM (1992) Early detection of complications in amebic liver abscess. Arch Med Res 23: 251-3.
  15. Nadler S, Cappell MS, Bhatt B, Matano S, Kure K (1990) Appendiceal infection by Entamoeba histolytica and Strongyloides stercoralis presenting like acute appendicitis. Dig Dis Sci 35: 603-608.
  16. Nucci M, Portugal R, Pulcheri W, et al. (1995) Strongyloidiasis in patients with hematologic malignancies. Clin Infect Dis 21: 675-677.
  17. Ramdial PK, Madiba TE, Kharwa S, Clarke B, Zulu B (2001) Isolated amoebic appendicitis. Virchows Arch 441: 63-68.
  18. Rodrigues MA, Froes RC, Anefalos A, Kobayasi S (2001) Invasive enteritis by Strongyloides stercoralis presenting as acute abdominal distress under corticosteroid therapy. Rev Hosp Clin Fac Med Sao Paulo 56: 103-106.
  19. Sullivan PB, Lunn PG, Northrop-Clewes CA, Farthing MJ (1992) Parasitic infection of the gut and protein-losing enteropathy. J Pediatr Gastroenterol Nutr 15: 404-407.
  20. Tsai HC, Lee SS, Liu YC et al. (2002) Clinical manifestation of strongyloidiasis in southern Taiwan. J Microbiol Immunol Infect 35: 29-36.
  21. Woodring JH, Halfhill H 2nd, Berger R, Reed JC, Moser N (1996) Clinical and imaging features of pulmonary strongyloidiaisis. South Med J 89: 10-19.
  22. Zaha O, Hirata T, Kinjo F, Saito A (2000) Strongyloidiasisprogress in diagnosis and treatment. Intern Med 39: 695-700.