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Revista colombiana de Gastroenterología
Print version ISSN 0120-9957On-line version ISSN 2500-7440
Abstract
MUNOZ-CEDENO, Rubén Gustavo; NARANJO, Linda Patricia; RODRIGUEZ, Gema and ALVARADO-GALLO, Virgilio. Histopathologic finding of Strongyloides stercoralis in a patient with Crohn’s disease: Case report. Rev. colomb. Gastroenterol. [online]. 2021, vol.36, n.2, pp.252-256. Epub Nov 24, 2021. ISSN 0120-9957. https://doi.org/10.22516/25007440.501.
Clinical case:
The following is a rare clinical case in an immunocompromised patient with histopathological findings of parasitic infestation. The patient is a middle-aged male who lives in a subtropical area and has a diagnosis of Crohn’s disease treated with corticosteroids and immunomodulators. The patient presented with abdominal pain and chronic anemia for 1 year, with negative laboratory tests for parasites and normal acute phase reactants. Gastroscopy and colonoscopy were performed before the consultation (6 months) without relevant findings. Due to the persistence of the symptoms, endoscopic studies were repeated, finding subepithelial bleeding with histopathological results of Strongyloides stercoralis.
Conclusion:
In the context of an immunocompromised patient living in an endemic area and with a torpid evolution, a differential diagnosis should be made always suspecting a parasitic infestation. Although endoscopy is not necessary to diagnose strongyloidiasis, its use may be convenient.
Keywords : Nematode infections; Strongyloides stercolaris; Immunocompromised host; Hematemesis; Crohn’s Disease.