Strongyloides stercoralis is a cause of abdominal pain, diarrhea and urticaria in rural Cambodia
Open Access
- 20 May 2013
- journal article
- Published by Springer Science and Business Media LLC in BMC Research Notes
- Vol. 6 (1), 200-4
- https://doi.org/10.1186/1756-0500-6-200
Abstract
Background We document clinical manifestations of 21 patients heavily infected with S. stercoralis (more than 250 larvae in a single Baermann test) from a community in rural Cambodia, both before and three weeks after ivermectin (200 μg/kg BW, single oral dose) treatment. Findings Out of 21 patients, 20 (95.2%), 18 (85.7%) and 14 (66.7%) reported frequent abdominal pain, diarrhea and periods of sensation of itching, respectively, during the previous six months; epigastric (11, 55.0%) and peri-umbilical (13, 65.0%) pains were most frequent. Five patients (23.8%) reported having experienced urticaria the week preceding the examination. One patient suffered from extended urticaria. Three weeks after treatment, most symptoms had been almost entirely resolved. Conclusions In rural communities of Cambodia, strongyloidiasis with high parasite load is endemic. It is associated with substantial symptoms and clinical signs, particularly abdominal pain, diarrhea and urticaria. Access to adequate diagnosis and treatment is a pressing issue that needs attention.Keywords
This publication has 13 references indexed in Scilit:
- Diagnosis, Treatment and Risk Factors of Strongyloides stercoralis in Schoolchildren in CambodiaPLoS Neglected Tropical Diseases, 2013
- Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case reportWorld Journal of Emergency Surgery, 2010
- Strongyloidiasis – the most neglected of the neglected tropical diseases?Transactions of the Royal Society of Tropical Medicine and Hygiene, 2009
- Severe strongyloidiasis in corticosteroid-treated patients: Case series and literature reviewJournal of Infection, 2007
- Not Your Typical Strongyloides Infection: A Literature Review and Case StudySouthern Medical Journal, 2006
- Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookwormThe Lancet, 2006
- Strongyloides stercoralis in an urban slum community in Bangladesh: factors independently associated with infectionTransactions of the Royal Society of Tropical Medicine and Hygiene, 1994
- A Modified Agar Plate Method for Detection of Strongyloides StercoralisThe American Journal of Tropical Medicine and Hygiene, 1991
- A simple device for quantitative stool thick-smear technique in Schistosomiasis mansoni.1972
- Diagnosis of strongyloidiasis: Importance of Baermann's methodDigestive Diseases and Sciences, 1961