Korean J Gastrointest Endosc > Volume 41(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(2): 123-127.
위와 대장을 동시에 침범한 분선충 감염 1예
고은실ㆍ강상범ㆍ이정화ㆍ이동수ㆍ김연수ㆍ이승우ㆍ안영용ㆍ허태윤
가톨릭대학교 의과대학 내과학교실
A Case of Strongyloides Stercoralis Concurrently Invading the Stomach and Colon
Eun Sil Koh, M.D., Sang Bum Kang, M.D., Jeong Hwa Lee, M.D., Dong Soo Lee, M.D., Yeon Soo Kim, M.D., Seung Woo Lee, M.D., Young Yong Ahn, M.D. and Tae Yun Heo, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon, Korea
Abstract
Strongyloides stercoralis is a nematode that may involve any segment of the Gl tract or virtually every human organ because of its autoinfection cycle and hyperinfection. It may occur in either immunocompetent or immunocompromised individuals. A 72-year-old woman who had no notable medical history presented with chronic diarrhea and generalized edema and she revealed protein losing eneteropathy. She was diagnosed with Strongyloidiasis infection through EGD and a colonoscopic biopsy specimen at a time when there were rhabditiform larvae present. The patient was treated with albendazole 400 mg/day for three days. At the follow-up three months later, the endoscopic biopsy specimens revealed no evidence of Strongyloidiasis infection and her clinical symptoms had progressively improved. The present case represents a rare report of Strongyloidiasis in a immunocompetent patient diagnosed through EGD and the colonoscopic biopsy specimen concurrently. So, we report on this case along with a review of the relevant literature. (Korean J Gastrointest Endosc 2010;41:123-127)
Key Words: Stomach, Colon, Strogylodiasis, Chronic diarrhea, Hypoalbuminemia
주요어: , 대장, 분선충 감염, 만성 설사, 저알부민혈증
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