Department of Pathology, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Indian J Pathol Microbiol. 2021 Jan-Mar;64(1):165-167. doi: 10.4103/IJPM.IJPM_359_19.
Strongyloides stercoralis is an intestinal nematode that infects humans, percutaneously and has a complex life cycle. We report a case of a thirty year old male presenting with chief complaints of profuse watery diarrhoea, abdominal fullness, loss of appetite, creepy abdominal pain and low-grade fever for the last one month. He was on corticosteroids for systemic sclerosis. Endoscopy showed thickened and oedematous duodenal folds with pinpoint areas of bleeding and multiple ulcerations on the duodenal mucosa. Histopathologial examination of duodenal biopsy revealed infestation by Strongyloides stercoralis in the duodenum, the duodenal mucosal glands were occupied by various parts of parasite. The patient was successfully treated and had uneventful recovery.
粪类圆线虫是一种感染人类的肠道线虫,通过皮肤感染,具有复杂的生命周期。我们报告了一例 30 岁男性病例,主要症状为大量水样腹泻、腹胀、食欲不振、腹部阵发性疼痛和低热,持续一个月。他因系统性硬化症正在接受皮质类固醇治疗。内镜检查显示十二指肠皱襞增厚和水肿,有针尖状出血点,十二指肠黏膜多处溃疡。十二指肠活检的组织病理学检查显示十二指肠内有粪类圆线虫感染,十二指肠黏膜腺被寄生虫的各个部位占据。患者经成功治疗后恢复良好。