Gastroduodenal Strongyloidiasis Diagnosed during Iron Deficiency Anemia Workup.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

Case Reports in Gastroenterology Pub Date : 2025-06-20 eCollection Date: 2025-01-01 DOI:10.1159/000539769

Malek Kreidieh, Neville Mobarakai, Sherif Andrawes, Robert Colef, Lara Kreidieh, Hassan Al Moussawi, Jean M Chalhoub

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Abstract

Introduction: The Strongyloidae family includes at least fifty species of intestinal nematode worms, and Strongyloides stercoralis is the most prevalent one among humans. As a result of this parasite's complex lifecycle, it can either remain localized in the intestines or disseminate to different organs throughout the body, culminating in hyperinfection in case of immunosuppression. Strongyloidiasis is rarely encountered in the USA, and an associated gastric involvement is uncommon.

Case presentation: In this case report, we describe the case of an asymptomatic and immunocompetent Liberian patient with gastroduodenal strongyloidiasis whose diagnosis was based on histologic findings during endoscopic evaluation for iron deficiency anemia.

Conclusion: This case sheds light on the importance of suspecting the diagnosis of disseminated strongyloidiasis in high-risk individuals with iron deficiency anemia in combination with peripheral eosinophilia.

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缺铁性贫血检查中诊断胃十二指肠圆线虫病。

导读：蛔虫科包括至少50种肠道线虫，其中粪形蛔虫是人类中最常见的一种。由于这种寄生虫复杂的生命周期，它既可以局限于肠道，也可以传播到全身的不同器官，在免疫抑制的情况下最终导致过度感染。类圆线虫病在美国是罕见的，并伴有胃累及是罕见的。病例介绍：在这个病例报告中，我们描述了一个无症状和免疫能力的利比里亚胃十二指肠圆线虫病患者的病例，其诊断是基于内镜评估缺铁性贫血的组织学结果。结论：本病例提示在缺铁性贫血合并外周血嗜酸性粒细胞增多的高危人群中怀疑弥散性圆线虫病诊断的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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