Open Access“Strongyloides stercoralis infestation in a severely malnourished (SAM) celiac disease child:” A rare case report from Western Rajasthan
Author(s) -
Usha Verma,
Vishakha Ashopa,
Pooja Nareda,
Eshank Gupta,
Ekta Gupta,
Prashant Prakash
Publication year - 2021
Publication title -
tropical parasitology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.418
H-Index - 11
eISSN - 2229-7758
pISSN - 2229-5070
DOI - 10.4103/tp.tp_86_19
Subject(s) - strongyloides stercoralis , albendazole , medicine , hypochromic anemia , anemia , gastroenterology , diarrhea , microcytic anemia , vomiting , hypoalbuminemia , gluten free , protein–energy malnutrition , strongyloides , immunology , pediatrics , malnutrition , disease , surgery , helminths
A case of Strongyloides stercoralis infection in severe protein energy malnutrition child with associated celiac disease (CD) is herein reported. The case was a 4-year-old, severely malnourished female admitted to the tertiary level hospital of Western Rajasthan, due to watery diarrhea, pain abdomen, and vomiting, not responding to treatment. The patient was HIV negative, nondiabetic, had no evidence of tuberculosis, Liver Function Test, Renal Function Test were normal was within normal limits. She had microcytic hypochromic anemia, hypoalbuminemia, and serum Antitissue transglutaminase (anti tTG IgA)was 301.35 U/ML which confirmed the diagnosis of CD. Stool parasitological examination revealed numerous rhabditiform larvae of threadworm "S. stercoralis." After treatment with gluten free diet and Albendazole and Ivermectin, the patient recovered without evidence of S. stercoralis in follow-up stool samples.