Gastric Strongyloides with Ulceration and Klebsiella pneumonia Bacteraemia

Mon, 12/03/2007

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Article ID: 
20070612220003
Authors: 
Ashish A. Sule, CM Yeo, DYH Tai, CC Lim, CL Nandini, TJ Chin
SKU:

Strongyloides infection is usually confi ned to small intestine in gastrointestinal tract. Gastric mucosal Strongyloides with ulceration is extremely uncommon. We describe a patient who presented with gastrointestinal bleeding with gastric Strongyloides diagnosed by biopsy from the base of the gastric ulcer. Patient was treated with ivermectin 9 mg once a day for 2 days. The hospital stay was complicated by severe Klebsiella pneumoniae bacteraemia which needed treatment with meropenem for 2 weeks. Patient was discharged after 40 days of hospital stay.

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