• Clin Med (Lond) · Mar 2021

    Case Reports

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

    • Akira Hokama and Kazuto Kishimoto.
    • University of the Ryukyus, Nishihara, Japan; hokama-a@med.u-ryukyu.ac.jp.
    • Clin Med (Lond). 2021 Mar 1; 21 (2): e239e240e239-e240.

    AbstractA 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.© Royal College of Physicians 2021. All rights reserved.

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