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Significant weight loss, nausea, and vomiting due to strongyloidiasis:a case report

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Author(s): Hossein Froutan | Ayatollah Bayatian | Seied Mohsen Razavizadeh | Mohsen Nasiri-Toosi | Afshin Shafaghi

Journal: Medical Journal of the Islamic Republic of Iran
ISSN 1016-1430

Volume: 22;
Issue: 3;
Start page: 149;
Date: 2008;
Original page

Keywords: strongyloidiasis | nausea | vomiting | albendazole.

ABSTRACT
  Abstract   Strongyloidiasis is caused by infestation with Strongyloides stercoralis, a free   living tropical and semitropical soil helminth that has a larval form that penetrates   intact skin. Clinical manifestations may be varied from an asymptomatic infection   in immunocompetent hosts to a diffuse and fatal form in immunocompromised   hosts.   We report a 56-year-old man from Dezful (south-west of Iran) with a 6-month   history of nausea, vomiting and significant weight loss (greater than 10%). Abdominal   ultrasonography had no significant findings. Upper gastrointestinal series and   abdominal CT were performed. Dilated bowel loops especially in the jejunum, with   decreased mucosal folds were seen. Abiopsy specimen from the third part of duodenum   showed strongyloides larvae, thus albendazole 400 mg twice a day for 3   days was initiated. He responded well to this treatment regimen.  
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