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