• Rev Esp Geriatr Gerontol · May 2009

    Case Reports

    [Strongyloides stercoralis infestation in an immunocompetent 82-year-old woman].

    • Virginia López Gaona, Juan Carlos Miñana Climent, Eduardo Delgado Parada, Solange Gutiérrez Vara, Fernando Vázquez Valdés, and Juan José Solano Jaurrieta.
    • Servicio de Geriatría-Medicina Interna, Hospital Monte Naranco, Oviedo, España.
    • Rev Esp Geriatr Gerontol. 2009 May 1;44(3):155-8.

    AbstractA laboratory finding of eosinophilia in patients with gastrointestinal symptoms should prompt the differential diagnosis of a parasitosis. The diagnosis is based on identification of larvae in three different stool samples. We report the case of an 82-year-old woman who was independent for instrumental and advanced activities of daily living and showed no risk factors for strongyloidiasis who was admitted to our service with diarrhoea and abdominal pain. Blood examination showed peripheral eosinophilia of 38%. Stool sample revealed Strongyloides stercoralis. In the patient's case history, we found similar clinical features with fluctuating eosinophilia over the previous 8 years. The patient was treated with albendazole, resulting in clinical improvement and elimination of eosinophilia.

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