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Strongyloidiasis presenting as depression: a case report

J J Haggerty, R Sandler

    The Journal of Clinical Psychiatry
    |August 1, 1982
    PubMed
    Summary
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    Occult parasitic infections like Strongyloidiasis can mimic psychiatric conditions such as depression. Early diagnosis via stool examination is crucial for effective treatment, avoiding prolonged medical evaluations.

    Area of Science:

    • Infectious Diseases
    • Medical Parasitology
    • Psychiatry

    Background:

    • Strongyloidiasis is a parasitic nematode infection endemic in tropical and subtropical regions.
    • It can present with a wide range of nonspecific symptoms, often leading to diagnostic challenges.
    • Undiagnosed Strongyloidiasis can lead to chronic morbidity and hyperinfection syndrome.

    Observation:

    • A case is presented where Strongyloidiasis manifested with symptoms mimicking hypochondriacal depression.
    • The patient underwent extensive medical evaluations without a definitive diagnosis.
    • Initial treatment with antidepressant medication proved unsuccessful.

    Findings:

    • The diagnosis of Strongyloidiasis was eventually confirmed via stool specimen examination.

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  • The parasitic infection was occult, meaning it was hidden or not readily apparent.
  • The clinical presentation highlights the potential for parasitic infections to masquerade as psychiatric disorders.
  • Implications:

    • This case underscores the importance of considering parasitic infections in the differential diagnosis of unexplained somatic and psychiatric symptoms.
    • Timely diagnosis of Strongyloidiasis through appropriate parasitological testing is essential.
    • Failure to diagnose Strongyloidiasis can result in delayed treatment and prolonged patient suffering.