| Home | E-Submission | Sitemap | Contact us |  
Korean J Parasitol > Volume 30(3):1992 > Article

Case Report
Korean J Parasitol. 1992 Sep;30(3):231-234. English.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1992.30.3.231
Copyright © 1992 by The Korean Society for Parasitology
A case of strongyloidiasis accompanied by duodenal ulcer
S Y Kim,N Y Kim,K H Lee,M S Gu,*J Y Chai,J Kook and S H Lee
Department of Internal Medicine, Kang Nam General Hospital Public Corporation, Seoul 135-090, Korea.
*Department of Clinical Pathology, Kang Nam General Hospital Public Corporation, Seoul 135-090, Korea.
Department of Parasitology, Seoul National University College of Medicine, Seoul 110-799, Korea.

A 58-year-old chronic alcoholism patient, who complained of epigastric discomfort, nausea, and frequent loose stool was diagnosed as strongyloidiasis accompanied by duodenal ulcer. The symptoms first appeared two years ago and aggravated during the recent 3 months, and he lost 4 kg of his body weight. Stool examination revealed rhabditoid nematode larvae, which were confirmed as those of Strongyloides stercoralis after cultivation of them to filariform larvae. At duodenoscopy, duodenal ulcer was found. The patient was treated with albendazole (200 mg, bid, for 14 days) for strongyloidiasis and with colloidal bismuth sulfate (240 mg, bid, for 6 weeks) for duodenal ulcer. After the medication, the symptoms of loose stool and epigastric discomfort were much improved and he was discharged with no clinical problems. This is an interesting case which suggests that S. stercoralis infection could be related with ulceration of the duodenal mucosa.


Figs. 1-2
Fig. 1. A rhabditoid form larva of S. stercoralis found from the stool of this patient. (EB: esophageal bulb), Bar=100 µm.

Fig. 2a. A filariform larva of S. stercoralis from fecal culture. (FE: filariform esophagus), Bar=100 µm. 2b. Notched tail of a filariform larva of S. stercoralis from fecal culture. (NT: Notched tail), Bar=50 µm.

1. Berk JE, et al. Gastroenterology 1943;1:1100.
2. Bradley SL, Dines DE, Brewer NS. Disseminated Strongyloides stercoralis in an immunosuppressed host. Mayo Clin Proc 1978;53(5):332–335.
3. Brandt de Oliveira R, Voltarelli JC, Meneghelli UG. Severe strongyloidiasis associated with hypogammaglobulinaemia. Parasite Immunol 1981;3(2):165–169.
4. Cruz T, Reboucas G, Rocha H. Fatal strongyloidiasis in patients receiving corticosteroids. N Engl J Med 1966;275(20):1093–1096.
5. Harris RA Jr, Musher DM, Fainstein V, Young EJ, Clarridge J. Disseminated strongyloidiasis. Diagnosis made by sputum examination. JAMA 1980;244(1):65–66.
6. Hong SJ, Shin JS, Kim SY. [A case of strongloidiasis with hyperinfection syndrome]. Korean J Parasitol 1988;26(3):221–226.
7. Kobayashi H. Acta Med Keijo 1928;11(2):109–124.
8. Purtilo DT, Meyers WM, Connor DH. Fatal strongyloidiasis in immunosuppressed patients. Am J Med 1974;56(4):488–493.
9. Than K. J Trop Med Hyg 1979;82:21–22.
10. Waton TG, et al. Can J Publ Heth 1976;67:139.
11. Yim Y, Kikkawa Y, Tanowitz H, Wittner M. Fatal strongyloidiasis in Hodgkin's disease after immunosuppressive therapy. J Trop Med Hyg 1970;73(10):245–249.
12. Yoon DH, Yang SJ, Kim JS, Hong ST, Chai JY, Lee SH, Chi JG. [A case of fatal malabsorption syndrome caused by strongyloidiasis complicated with isosporiasis and human cytomegalovirus infection]. Korean J Parasitol 1992;30(1):53–58.
Editorial Office
Department of Molecular Parasitology, Samsung Medical Center, School of Medicine, Sungkyunkwan University,
2066 Seobu-ro, Jangan-gu, Suwon 16419, Gyeonggi-do, Korea.
Tel: +82-31-299-6251   FAX: +82-1-299-6269   E-mail: kjp.editor@gmail.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © 2022 by The Korean Society for Parasitology and Tropical Medicine.     Developed in M2PI