Author/Authors :
Najafi ، Narges نويسنده Tropical Medicine and Microbial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran. , , SOLEYMANI، Eissa نويسنده Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran SOLEYMANI, Eissa , Sarvi، Shahabeddin نويسنده Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, IR Iran , , MAROFI، Amirkeivan نويسنده Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran MAROFI, Amirkeivan , Nosrati، Anahita نويسنده Department of pathology, Emam Hospital, Mazandaran University of Medical Science, Sari, Iran. , , Davoodi، Alireza نويسنده ,
Abstract :
Strongyloides stercoralis is a soil-transmitted helminth (STH) widespread in various part of the world. A 78-yr-old peasant diabetic female from Mazandaran Province northern Iran, was admitted to Infection Department of the Razi Hospital in city of Qaemshahr, north of Iran complaining about abdominal skin rash, pruritus, itching, anorexia, nausea, vomiting, dysuria and cough. This patient had cutaneous migration effects of S. stercoralis larvae in her abdominal skin (larva currents and urticaria). Lung CT without contrast demonstrates bilateral diffuse ground glass opacity draws attention. Upper gastrointestinal endoscopy revealed gastro esophageal reflux with antral gastritis. Duodenal endoscopy showed unusual mucosa and a biopsy from it sent to the pathology laboratory. Histopathology of duodenal bulb and duodenum biopsy showed mild villous atrophy and S. stercoralis infection. The patient was treated with albendazole and clinical sings improved completely after treatment. Strongyloidiasis should be carefully considered by clinicians who practice in endemic areas. Clinicians must keep a high level of skepticism for patients from endemic area.
