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Image of the month: Target the bugs: Strongyloides stercoralis hyperinfection

Akira Hokama1, Kazuto Kishimoto2

  • 1University of the Ryukyus, Nishihara, Japan; hokama-a@med.u-ryukyu.ac.jp.

Clinical Medicine (London, England)
|March 25, 2021
PubMed

A 74-year-old woman carrying the human T-lymphotropic virus type-1 (HTLV-1) presented with abdominal pain and vomiting. Computed tomography and microscopic analysis of the gastroduodenal drainage fluid made a diagnosis of paralytic ileus due to Strongyloides stercoralis hyperinfection with underlying HTLV-1 infection. Strongyloidiasis should be included in the differential diagnosis for paralytic ileus in patients who have lived in or migrated from the endemic regions.

Keywords:
Strongyloides stercoraliscomputed tomographyhuman T-lymphotropic virus type 1hyperinfectionileus

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