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Gastroduodenal Strongyloidiasis Diagnosed during Iron Deficiency Anemia Workup
Malek Kreidieh1, Neville Mobarakai2, Sherif Andrawes1
1Division of Gastroenterology, Department of Internal Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA.
Strongyloidiasis, a parasitic infection, can affect the stomach and duodenum. This case highlights the importance of considering this diagnosis in individuals with iron deficiency anemia and eosinophilia.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Infectious Diseases
Background:
- Strongyloides stercoralis is a prevalent intestinal nematode with a complex life cycle.
- Dissemination can occur, leading to hyperinfection in immunosuppressed individuals.
- Gastric involvement in strongyloidiasis is rare, especially in the USA.
Purpose of the Study:
- To report a case of gastroduodenal strongyloidiasis in an immunocompetent patient.
- To emphasize diagnostic considerations for strongyloidiasis in specific clinical contexts.
Main Methods:
- Case report of a Liberian patient.
- Diagnosis confirmed by histologic findings during endoscopic evaluation.
- Patient evaluated for iron deficiency anemia.
Main Results:
- An asymptomatic, immunocompetent patient presented with gastroduodenal strongyloidiasis.
- Diagnosis was incidental during endoscopy for iron deficiency anemia.
Conclusions:
- Suspect disseminated strongyloidiasis in high-risk individuals with iron deficiency anemia and peripheral eosinophilia.
- Highlights the importance of considering uncommon parasitic infections in differential diagnoses.
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