RESUMO
We describe the features of intestinal strongyloidiasis in six patients; five of them were immunosuppressed (four on corticosteroids, one with chronic renal failure). Vomiting and diarrhea were the predominant symptoms. Duodenal mucosa on endoscopy varied from normal to severe ulceration. Albendazole 400 mg/day for two weeks was effective. This condition should be considered in immunosuppressed individuals with gastrointestinal symptoms, especially since these symptoms may be mistakenly attributed to the underlying disease.
Assuntos
Enteropatias Parasitárias/complicações , Infecções Oportunistas/complicações , Estrongiloidíase/complicações , Adulto , Albendazol/uso terapêutico , Animais , Anti-Helmínticos/uso terapêutico , Diarreia/parasitologia , Evolução Fatal , Feminino , Humanos , Imunossupressores , Enteropatias Parasitárias/tratamento farmacológico , Enteropatias Parasitárias/patologia , Mucosa Intestinal/parasitologia , Intestino Delgado/parasitologia , Intestino Delgado/patologia , Masculino , Infecções Oportunistas/tratamento farmacológico , Infecções Oportunistas/patologia , Estudos Retrospectivos , Strongyloides stercoralis/isolamento & purificação , Estrongiloidíase/tratamento farmacológico , Estrongiloidíase/patologia , Vômito/parasitologiaRESUMO
We report a case of spontaneous hemobilia in a hemophilia patient presenting with classical Sandblom's triad of symptoms. Endoscopic retrograde cholangiography was helpful in establishing the diagnosis. Hemobilia subsided with factor VIII replacement and endoscopic nasobiliary drainage. Endoscopic nasobiliary drainage resulted in lysis of the clots in the biliary tree and relief of obstructive jaundice.