Case Report: Disseminated Strongloides stercoralis Presenting as an Ulcerated Gastric Mass in an HIV-1-infected Patient

View More View Less
  • 1 Amin General Hospital, Addis Ababa, Ethiopia;
  • | 2 Department of Pathology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia;
  • | 3 Bacterial, Fungal and Zoonotic Diseases Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia;
  • | 4 Mekelle University College of Health Sciences, Mekelle, Ethiopia

Disseminated Strongloides stercoralis is a common phenomenon among patients with immunosuppression. In this report, we present a case of disseminated Strongloides stercoralis presenting as a gastric mass in a 42-year-old male patient with a known history of HIV-1 infection and type 2 diabetes mellitus (T2DM). The patient presented with symptoms and signs suggestive of acute on chronic erosive gastritis, which included persistent vomiting. Endoscopic examination revealed a gastric mass with no signs of malignancy or dysplasia. There was noted to be chronic inflammation along with morphologic features consistent with the larvae and eggs of Strongloides nematodes in a biopsied gastric mass tissue and duodenum. The disease subsequently resulted in death despite the administration of ivermectin.

Author Notes

Address correspondence to Dawit Wolday, Mekelle University College of Health Sciences, Mekelle, Ethiopia. E-mail: dawit.wolday@mu.edu.et

Authors’ addresses: Kassa Tameru and Mohammed Shikur, Internal Medicine, Amin General Hospital, Addis Ababa, Ethiopia, E-mails: ktameru@yahoo.com and mosmigemusa@hotmail.com. Bekure Tsegaye and Wondwossen Ergete, Pathology, Amin General Hospital, Addis Ababa, Ethiopia, E-mails: bekure_tsegaye@yahoo.com and wondwossen_ergete@yahoo.com. Adugna Abera and Geremew Tasew, Bacterial, Fungal and Zoonotic Diseases Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia, E-mails: adugnabe@yahoo.com and getas73@yahoo.com. Dawit Wolday, Medicine, Mekelle University College of Health Sciences, Mekelle, Ethiopia, E-mail: dawwol@gmail.com.

Save