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Happy ending of life-threatening upper GI bleeding
Quazi Tarikul Islam1, Mahmudur Rahman Siddiqui, Md Anisur Rahman
1Department of Internal Medicine, Dhaka Medical College, Dhaka, Bangladesh.
BMJ Case Reports
|June 8, 2012
Summary
Strongyloides stercoralis, a widespread intestinal nematode, can cause severe gastric bleeding. This case highlights the potential for serious gastrointestinal complications from this common parasitic infection.
Area of Science:
- * Medical Parasitology
- * Gastroenterology
- * Infectious Diseases
Background:
- * Strongyloides stercoralis is a globally prevalent intestinal nematode, affecting millions and endemic in tropical and subtropical regions.
- * While typically causing intestinal symptoms, severe or unusual presentations can occur.
Observation:
- * A 33-year-old man presented with recurrent, life-threatening upper gastrointestinal bleeding.
- * Diagnostic investigations revealed a gastric infection caused by Strongyloides stercoralis.
Findings:
- * The patient's severe upper gastrointestinal bleeding was directly attributed to gastric Strongyloides stercoralis infection.
- * This case underscores the potential for gastric involvement by the parasite, leading to critical hemorrhage.
Implications:
- * Clinicians should consider Strongyloides stercoralis in the differential diagnosis of unexplained upper gastrointestinal bleeding, especially in endemic areas.
- * Early recognition and treatment are crucial to prevent life-threatening complications associated with severe Strongyloides stercoralis infections.
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