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Strongyloides stercoralis hyperinfection causing eosinophilic ascites
Shailaja Shukla1, Richa Chauhan1, Shveta Wadhwa1
1Department of Pathology, Lady Hardinge Medical College, New Delhi, India.
Diagnostic Cytopathology
|June 23, 2015
Summary
Strongyloidiasis, a parasitic infection, can lead to severe hyperinfection. This case highlights peritoneal effusion as a rare manifestation in an immunocompromised patient with multiple comorbidities.
Area of Science:
- Medical Parasitology
- Infectious Diseases
- Gastroenterology
Background:
- Strongyloidiasis is caused by the nematode Strongyloides stercoralis, endemic in tropical and subtropical areas.
- Hyperinfection syndrome and dissemination are known complications, particularly in immunocompromised individuals.
- Peritoneal cavity invasion with effusion is an exceptionally rare presentation of Strongyloides stercoralis infection.
Observation:
- A case study of a young male patient with a history of alcoholism, diabetes mellitus, and liver disease is presented.
- The patient presented with ascites, a condition characterized by peritoneal fluid accumulation.
- Diagnostic paracentesis was performed to analyze the peritoneal fluid.
Findings:
- Numerous filariform larvae of Strongyloides stercoralis were identified in the peritoneal fluid.
- Eosinophils were also present in significant numbers in the fluid analysis.
- This confirmed a rare case of S. stercoralis hyperinfection presenting with peritoneal effusion.
Implications:
- This case underscores the importance of considering Strongyloidiasis in patients with ascites and risk factors, even with unusual presentations.
- Early diagnosis and treatment are crucial to prevent potentially fatal dissemination.
- Highlights the need for increased awareness of rare Strongyloides manifestations in clinical practice.
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