J Korean Geriatr Soc.  2014 Dec;18(4):241-245. 10.4235/jkgs.2014.18.4.241.

Strongyloides Hyperinfection in an Elderly Patient Treated for Stomach Cancer

Affiliations
  • 1Department of Infectious Diseases, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. yhj822@medimail.co.kr
  • 2Department of Pathology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.

Abstract

Strongyloides stercoralis is an intestinal nematode with a complex life cycle, including a free living cycle, a parasitic cycle, and an auto-infection cycle. S. stercolaris infection may occur in both immunocompetent and immunocompromised individuals. It is usually asymptomatic and undetectable for decades in a healthy host. In immunocompromised patient, however, it may cause life threatening hyperinfection involving multiple organs. In Korea, several cases of Strongyloides hyperinfection have been reported since 1959. However, reports with gastric involvement and peritoneal invasion are rare. This is a report of gastric strongyloidiasis hyperinfection identified at ascites in an elderly patient who had subtotal gastrectomy due to stomach cancer.

Keyword

Strongyloides stercoralis; Stomach neoplasms; Ivermectin; Parasitology

MeSH Terms

Aged*
Ascites
Gastrectomy
Humans
Immunocompromised Host
Ivermectin
Korea
Life Cycle Stages
Parasitology
Stomach Neoplasms*
Strongyloides stercoralis
Strongyloides*
Strongyloidiasis
Ivermectin
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