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Virtual Slide Congress. Case # 03
Alexandra Gené*, J Reyes*, A Forteza*, M Company*, J Torralba*, M Couce*, Ramón Canet*
* Hospital Universitario Son Dureta. Palma de Mallorca ESPAÑA
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Resumen
fiogf49gjkf0d 64 y.o. patient who presented with diarrhea, abdominal pain, asthenia, 8-10 kg weight loss.
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Case Report
fiogf49gjkf0d A 64 year old patient who presented with diarrhea, abdominal pain, asthenia, 8-10 kg weight loss and progressive food intolerance that required parenteral nutrition. In addition, he had been treated for unknown-germ pneumonia three weeks earlier.
Abdominal CT-scan showed small bowel handles distention without obstruction signs.
Stool examination was negative.
Gastroscopy showed an absence of Kerkring folds and abnormal villi pattern in the second duodenal portion. Biopsies were taken.
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DIAGNOSIS
fiogf49gjkf0d INTESTINAL STRONGYLOIDIASIS
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Pathology
fiogf49gjkf0d Pathologic findings:
We received eight duodenal samples that measured between 0,2 and 0,4 mm. Histologically we found several adult female worms lying within the small bowel’s crypts. A typical transverse section through the posterior region of the worm contains an intestine and two sections of the reproductive tube. The lamina propria contains numerous plasma cells, eosinophils and neutrophils.
All these findings are compatible with Strongyloides stercolaris infection.
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Discusión
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Conclusiones
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Bibliografía
1.- Atul S, Ajay D, Ritambhara N, Harsh M, Ashish B. An unusual cause of malabsorption in an immunocompetent host. J Ayub Med Coll Abbottabad. 2005 Jan-Mar;17(1):85-6.
2.- Asano K, Tada S, Kamio T, Matsumoto T, Suko H, Iida M. Strongyloidiasis. Gastrointest Endosc. 2004 Oct;60(4):606-7.
3.- Pathology of tropical and extraordinary diseases. Armed Forces Institute of Pathology.
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