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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(02): 134-135
DOI: 10.1055/s-0039-1693240
Case Report
Society of Gastrointestinal Endoscopy of India

A Rare Cause of Weight Loss in Immunocompetent Subject

Mukesh Nasa
1   Medanta Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Gurgaon, Haryana, India
,
Mahesh Gupta
1   Medanta Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Gurgaon, Haryana, India
,
Shashank Bhansali
1   Medanta Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Gurgaon, Haryana, India
,
Lipika Lipi
2   Departments of Pathology, Medanta—The Medicity, Gurgaon, Haryana, India
,
Rajesh Puri
1   Medanta Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Gurgaon, Haryana, India
› Author Affiliations
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Publication History

Publication Date:
07 August 2019 (online)

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Abstract

We report a case of 61-year-old immunocompetent man with no comorbidity presenting with unexplained weight loss. All routine investigations could not point to the etiology of weight loss, but duodenal biopsy taken on upper gastrointestinal endoscopy revealed larvae of Strongyloides stercoralis, a nematode endemic to Indian subcontinent. The patient recovered after course of albendazole, and in the absence of other causality, weight loss was attributed to strongyloidiasis.

Keywords

edema - Strongyloides stercoralis - weight loss
 

  • References

  • 1 Shukla S, Chauhan R, Wadhwa S, Sehgal S, Singh S. Strongyloides stercoralis hyperinfection causing eosinophilic ascites. Diagn Cytopathol 2015; 43 (09) 731-733
    CrossrefPubMedGoogle Scholar
  • 2 Panda S, Kar A, Das U, Rout N. Cervical strongyloidiasis in an immunocompetent patient: a clinical surprise. Indian J Pathol Microbiol 2015; 58 (03) 389-391
    CrossrefPubMedGoogle Scholar
  • 3 Tiwari S, Rautaraya B, Tripathy KP. Hyperinfection of. Strongyloides stercoralis. in an immunocompetent patient. Trop Parasitol 2012; 2 (02) 135-137
    CrossrefPubMedGoogle Scholar
  • 4 Valerio L, Roure S, Fernández-Rivas G. et al; North Metropolitan Working Group on Imported Diseases. Strongyloides stercoralis., the hidden worm. Epidemiological and clinical characteristics of 70 cases diagnosed in the North Metropolitan Area of Barcelona, Spain, 2003-2012. Trans R Soc Trop Med Hyg 2013; 107 (08) 465-470
    CrossrefPubMedGoogle Scholar
  • 5 Centers for Disease Control, DPDx Parasites and health: Strongyloidiasis. Centers for Disease Control & Prevention; 2009
    Google Scholar
  • 6 Károlyi Z, Erös N, Kriston R. [Cutaneous manifestations of strongyloidosis]. Orv Hetil 1999; 140 (04) 191-194
    PubMedGoogle Scholar