Strongyloidiasis Presenting as Yellowish Nodules in Colonoscopy of an Immunocompetent Patient
- Author:
Hannah RA
1
;
Jun Won CHUNG
;
Dong Hae CHUNG
;
Jung Ho KIM
;
Yoon Jae KIM
;
Kyoung Oh KIM
;
Kwang An KWON
;
Dong Kyun PARK
Author Information
- Publication Type:Case Report
- Keywords: Colonoscopy; Endoscopic mucosal resection; Strongyloidiasis
- MeSH: Aged, 80 and over; Colon; Colonoscopy; Drug Therapy; Humans; Immunocompromised Host; Mass Screening; Steroids; Stomach Neoplasms; Strongyloides stercoralis; Strongyloidiasis
- From:Clinical Endoscopy 2019;52(1):80-82
- CountryRepublic of Korea
- Language:English
- Abstract: Strongyloides stercoralis is endemic to tropical and subtropical regions, and infections are usually asymptomatic. However, immunocompromised patients, such as those receiving immunosuppressive therapy, high-dose steroids, or chemotherapy, can develop fatal hyperinfections. An 84-year-old man without any symptoms was diagnosed with strongyloidiasis during a regular screening colonoscopy. His medical history only involved a gastric endoscopic submucosal dissection for early gastric cancer 6 months previously. Few cases have been published about asymptomatic strongyloidiasis diagnosed in an immunocompetent host via endoscopic mucosal resection with characteristic colonoscopic findings. We report a case of colon-involved asymptomatic strongyloidiasis with specific colonic findings of yellowish-white nodules. This finding may be an important marker of S. stercoralis infection, which could prevent hyperinfections.
