Cases reported "Duodenitis"

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1/3. A patient with eosinophilia, hypoalbuminemia and abdominal pain.

    strongyloides stercoralis infections frequently present with eosinophilia and abdominal pain. Since the gastrointestinal symptoms are non-specific, only 15 percent of these patients are correctly considered to have an infectious enteritis or intestinal parasite. In fact, the initial diagnosis is peptic ulcer disease in most patients. The clinical course may be indolent, or patients may develop a sudden catastrophic illness, particularly following the administration of corticosteroids.
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ranking = 1
keywords = stercoralis
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2/3. Arteriomesenteric duodenal occlusion associated with strongyloidiasis.

    Arteriomesenteric occlusion of the distal duodenum may occur in clinical conditions which result in narrowing of the angle between the aorta and superior mesenteric artery. Two patients with arteriomesenteric duodenal occlusion associated with strongyloides stercoralis infection are described. In one patient the mechanism of occlusion appeared to be significant weight loss and associated visceroptosis, while in the other patient increased diameter of superior mesenteric vessels was the major factor. strongyloidiasis, a curable parasitic infection, should be considered in patients presenting with arteriomesenteric occlusion of the distal duodenum.
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ranking = 1
keywords = stercoralis
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3/3. L-dopa malabsorption in a parkinsonian patient with strongyloides stercoralis duodenitis.

    We report a parkinsonian patient initially responding to L-dopa who developed a severe loss of drug efficacy due to strongyloides stercoralis duodenitis. The patient was put on mebendazole and metronidazole, and the parasitosis abated, allowing L-dopa reduction by 33%. Our patient illustrates the advisability of searching for strongyloides stercoralis when L-dopa malabsorption is suspected in Parkinson's disease.
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ranking = 6
keywords = stercoralis
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