Jejunal strongyloidiasis mimicking crohn's colitis: A diagnostic dilemma!
Indian J Pathol Microbiol
; 2024 May 10.
Article
em En
| MEDLINE
| ID: mdl-38769818
ABSTRACT
ABSTRACT We report an unusual case of jejunal strongyloidiasis presenting as chronic malabsorption and intractable small bowel diarrhea in an immunocompetent adolescent boy who posed a diagnostic challenge for pathologists, radiologists, and gastroenterologists. Histopathology revealed chronic active colitis and was consistent with the clinicoradiological diagnosis of Crohn's colitis but nonresponse to immunomodulators warranted full-thickness jejunal biopsy through laparotomy which showed numerous larvae and eggs of Strongyloides. There is a need to increase the awareness of Strongyloides colitis given its high rate of misdiagnosis and mortality as the correct diagnosis can avoid a fatal outcome of this curable disease.
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MEDLINE
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En
Ano de publicação:
2024
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Article