Two Cases of Strongyloidiasis Diagnosed by Colonoscopic Biopsy
남상철, 김영수, 배한익, 한만훈, 금윤섭, 서인수,
소속 상세정보
남상철 ( Nam Sang-Chul )
경북대학교 의과대학 병리학교실
김영수 ( Kim Young-Su )
경북대학교 의과대학 병리학교실
배한익 ( Bae Han-Ik )
경북대학교병원 해부병리과
한만훈 ( Han Man-Hoon )
경북대학교 의과대학 병리학교실
금윤섭 ( Kum Yoon-Seup )
경북대학교 의과대학 병리학교실
서인수 ( Suh In-Soo )
경북대학교 의과대학 병리학교실
KMID : 0357920070410050343
Abstract
Strongyloides stercoralis is an intestinal nematode that is able to infect the host tissue and persist for many years through autoinfection, and it causes life-threatening hyperinfection in immunocompromised hosts. We report here on two cases of strongyloidiasis that were diagnosed by colonoscopic biopsy. One case was a 73-year-old woman who was hospitalized with complaints of melena. She was being treated with corticosteroid due to her asthma and rheumatoid arthritis. The other case was a 63-year-old man who suffered with abdominal discomfort and severe loss of body weight (18 kg) for 2 months. In both cases, colonoscopic examination revealed polyps and petechiae at the entire colon. Microscopically, a small ill-defined granuloma with a longitudinally sectioned parasite was seen on the colonoscopic biopsy. Endoscopic examination was done after suspecting parasitic infestation. The gastric and duodenal mucosa showed numerous cross sections of adult worms, eggs and larvae that were developing in crypts. Even if such a patient is in an asymptomatic state, this illness must be treated due to the potential for fatal autoinfection.
키워드
Strongyloides stercoralis;Colonoscopy
원문 및 링크아웃 정보
등재저널 정보