Disseminated strongyloidiasis in a 70-year-old lady

Abstract

Objectives To describe a case of disseminated strongyloidiasis in an old age lady with non-specific clinical manifestations. Methods and Results A 70-year-old lady was admitted to Merjan Teaching Hospital on 28th of July 2008 with 2 months history of generalised abdominal pain. Presence of numerous S. stercoralis larvae during intestinal mucosal biopsies confirmed the diagnosis of hyperinfection syndrome in this patient. Albendazole therapy did not cure the effects; and the patient died due to this severe illness. The most important clue to prevent such fatal consequences is high index of suspicion, early diagnosis and proper management. Conclusion Disseminated strongyloidiasis needs high index of suspicion especially in immunocompromised patient who presents with vague gastrointestinal manifestations.

Keywords

• disseminated strongyloidosis, gastrointestinal biopsy, old age