Cases reported "Colitis"

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1/8. Mistaken diagnosis of eosinophilic colitis.

    A 69-year-old male chronic alcohol abuser suffering from diarrhoea and with a number of discrete pruriginous and erythematous lesions of the trunk was referred to our Unit with a diagnosis of idiopathic eosinophilic colitis in order that we might determine corticosteroid treatment. diagnosis was based on the presence of marked peripheral eosinophilia and massive eosinophilic infiltration at colonic biopsy, and the exclusion of parasitic infection by means of two different microscopic stool examinations of five samples. However, repeated stool examinations of ten samples collected on separate days and evidence of impaired cell-mediated immunity allowed a definite diagnosis of strongyloides stercoralis autoinfection or hyperinfection. Due to the poor sensitivity of stool examination in the diagnosis of strongyloides stercoralis infection, a careful search for this parasite should be made in all patients with comparable clinical findings before formulating a diagnosis of idiopathic eosinophilic colitis, because consequent steroid treatment may have a fatal outcome by inducing widespread dissemination of the parasite.
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ranking = 1
keywords = stercoralis
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2/8. hiv infection associated with strongyloides stercoralis colitis resulting in streptococcus bovis bacteraemia and meningitis.

    We report the case of an hiv infected patient with streptococcus bovis bacteraemia and meningitis associated with gastrointestinal strongyloides stercoralis infection. To our knowledge, this has been reported once previously and serves as a reminder to actively exclude asymptomatic S stercoralis infection in hiv infected individuals presenting with bacteraemia.
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ranking = 3
keywords = stercoralis
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3/8. Chronic relapsing colitis due to strongyloides stercoralis.

    The small intestine is the usual site of chronic infection with strongyloides stercoralis. Colonic involvement has generally been seen in the hyperinfection syndrome in immunosuppressed individuals. We describe an immunologically competent female who underwent multiple abdominal operations over a 5-year period for hematochezia and diffuse abdominal pain of obscure etiology. eosinophilia had been present but never investigated until 1981, at which time stool examination revealed S. stercoralis larvae. Pathological specimens from operations in 1977 and 1981 demonstrated extensive colonic wall invasion with filariform larvae consistent with S. stercoralis. Involvement of other organs was never documented. We believe this case is consistent with chronic colitis due to strongyloidiasis. This entity has not been previously described, and expands the spectrum of this disease.
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ranking = 3.5
keywords = stercoralis
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4/8. Radiological manifestations of strongyloides stercoralis.

    Nine patients with radiological changes due to strongyloides stercoralis (SS) are described. A wide variation in appearance exists ranging from mild edema of the duodenal and small bowel mucosa to grossly enlarged, prominent valvulae conniventes. Small bowel dilatation is significant, and in overwhelming infestation toxic dilatation with paresis results. spasm, ulceration, and stricture are encountered in addition. The appearances usually improve and reverse with treatment. Ampullary involvement is responsible for reflux of barium into the pancreatic duct and biliary tree through a patulous sphincter. In 1 patient the colonic changes resembled ulcerative colitis.
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ranking = 2.5
keywords = stercoralis
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5/8. A case of systemic strongyloidiasis in an ex-coal miner with idiopathic colitis.

    An ex-coal miner was diagnosed with an idiopathic sigmoiditis compatible with colitis ulcerosa. He was treated with corticosteroids because of his deteriorating clinical condition, but his condition continued to worsen. He revealed to have a systemic strongyloides stercoralis hyperinfection and Strongyloides colitis. A short time after diagnosis he died from septic shock despite therapy with thiabendazole and antibiotics. S. stercoralis is an opportunistic infection that is not uncommon and has high mortality in hyperinfection. It is prevalent in (sub)tropical areas, and also in coal mines because of the specific microclimate. However, the parasite is difficult to detect because eosinophilia can appear normal in chronic infection. Several stool examinations, duodenal aspiration or biopsies are necessary for a high diagnostic sensitivity. Serological diagnosis is the most sensitive and specific but is not always available.
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ranking = 1
keywords = stercoralis
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6/8. streptococcus bovis bacteremia and meningitis associated with strongyloides stercoralis colitis in a patient infected with human immunodeficiency virus.

    We present a case of human immunodeficiency virus (hiv) infection complicated by streptococcus bovis meningitis and bacteremia and severe strongyloides stercoralis colitis. The association between S. bovis infection and strongyloidiasis has not been described previously. This case highlights the importance of searching for larvae of S. stercoralis as part of the evaluation of the gastrointestinal tract of patients with bacteremia or meningitis due to certain enteric organisms. The role of hiv infection in the development of severe S. stercoralis colitis in association with S. bovis bacteremia and meningitis is unclear.
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ranking = 3.5
keywords = stercoralis
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7/8. strongyloides stercoralis infection mimicking relapse in a child with small noncleaved cell lymphoma.

    strongyloides stercoralis infection in adults receiving chemotherapy for malignant lymphoma is frequently fatal. We report the successful treatment of strongyloides stercoralis infection in a child receiving intensive multiagent chemotherapy for advanced-stage small noncleaved cell lymphoma.
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ranking = 3
keywords = stercoralis
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8/8. strongyloidiasis colitis: a case report and review of the literature.

    A case is described of a nonimmunocompromised man who presented with diarrhea, weight loss, and microcytic anemia. colonoscopy revealed a pancolitis characterized by aphthoid ulceration on endoscopy and intense tissue eosinophilic infiltrates on biopsy. Both colonic biopsies and stool aspirates revealed the larvae of strongyloides stercoralis, thus confirming this parasite as the causative agent for the colitis.
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ranking = 0.5
keywords = stercoralis
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