Review of patients with Strongyloides stercoralis infestation in a tertiary teaching hospital, Kelantan
- Author:
Azira NMS
;
Abdel Rahman Mz
;
Zeehaida M
- Publication Type:Journal Article
- Keywords:
Strongyloides stercoralis;
diarrhoea;
abdominal discomfort
- From:The Malaysian Journal of Pathology
2013;35(1):71-76
- CountryMalaysia
- Language:English
-
Abstract:
Strongyloides stercoralis is an intestinal nematode infecting humans. The actual prevalence of
infestation with this parasite in our setting is not well established. Thus, this study was conducted
to determine the age, sex and co-morbid conditions among patients with S. stercoralis infestation as
well as to study the common manifestations of strongyloidiasis in our patients. Records of patients
with positive S. stercoralis larvae from January 2000 to December 2012 in Hospital Universiti Sains
Malaysia, Kubang Kerian, Kelantan were reviewed. Ten patients were male and two were female.
Their ages ranged from 19 to 78 years old. The majority (92%) of cases, presented with intestinal
symptoms and 50% with moderate to severe anaemia. Thirty percent of cases had extraintestinal
manifestations such as cough, sepsis and pleural effusion. Ninety-two percent of the patients had
a comorbid illness. Most patients were immunocompromised, with underlying diabetes mellitus,
retroviral disease, lymphoma and steroid therapy contributing to about 58% of cases. Only 58%
were treated with anti-helminthic drugs. Strongyloidiasis is present in our local setting, though the
prevalence could be underestimated.
- Full text:P020150925363753411737.pdf
