Case Reports
Chronic diarrhoea due to severe strongyloidiasis in a Chronic Kidney Disease patient: A case report
Authors:
A. Karunatilaka ,
Teaching Hospital, Anuradhapura, LK
T. Hewageegana,
Teaching Hospital, Anuradhapura, LK
N. Y. Perera,
Teaching Hospital, Anuradhapura, LK
C. Kumarasinghe,
Teaching Hospital, Anuradhapura, LK
D. Sinharachchi
Teaching Hospital, Anuradhapura, LK
Abstract
Strongyloides stercoralis is a soil-transmitted nematode endemic throughout tropical and subtropical regions. Although most of the healthy infected individuals are asymptomatic, it can be life-threatening for immunocompromised patients, and is responsible for a wide range of complications including chronic diarrhoea. Hence, it is vital to have a high level of suspicion and routine screening in immunosuppressed patients from endemic regions. We report a case of chronic diarrhoea due to Strongyloides stercoralis infection in a 55-year-old man who was on dialysis for end-stage Chronic Kidney Disease (CKD). The patient was initially managed as culture-negative continuous ambulatory peritoneal dialysis (CAPD) peritonitis. Later a thorough examination of his stools revealed Strongyloides stercoralis rhabditiform larvae, after which he was treated with albendazole. However, he eventually died of CKD. We emphasize the need for a thorough examination of stools with a high degree of suspicion in chronic diarrhoeas, particularly in immunocompromised patients.
How to Cite:
Karunatilaka, A., Hewageegana, T., Perera, N.Y., Kumarasinghe, C. and Sinharachchi, D., 2021. Chronic diarrhoea due to severe strongyloidiasis in a Chronic Kidney Disease patient: A case report. Anuradhapura Medical Journal, 15(2), pp.17–19. DOI: http://doi.org/10.4038/amj.v15i2.7683
Published on
30 Dec 2021.
Peer Reviewed
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