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Chronic diarrhoea due to severe strongyloidiasis in a Chronic Kidney Disease patient: A case report

Authors:

A. Karunatilaka ,

Teaching Hospital, Anuradhapura, LK
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T. Hewageegana,

Teaching Hospital, Anuradhapura, LK
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N. Y. Perera,

Teaching Hospital, Anuradhapura, LK
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C. Kumarasinghe,

Teaching Hospital, Anuradhapura, LK
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D. Sinharachchi

Teaching Hospital, Anuradhapura, LK
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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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