Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation
Ugur KorkmazAli Erkan DumanBerra GurkanGoktug SirinYildiray TopcuGokhan DindarYesim GurbuzOmer Senturk
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JOURNAL OPEN ACCESS

2012 Volume 51 Issue 8 Pages 881-883

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Abstract

Celiac disease (CD) is treated by eliminating all gluten from the diet. A 49-year-old man with CD was admitted to our clinic with complaints of recurrent diarrhea and abdominal pain despite strict adherence to a gluten-free diet. The duodenum was seen to be edematous on gastroduodenoscopic examination. Histological examination of the biopsy specimen taken from the duodenum showed multiple round shaped Strongyloides stercoralis (S. stercoralis) larvae within the crypts. He was successfully treated with albendazole. This case emphasizes the importance of duodenal biopsy in CD. To our knowledge, this is the first case in the literature showing CD and S. stercoralis together.

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© 2012 by The Japanese Society of Internal Medicine
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