Cargando…

Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis

The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with c...

Descripción completa

Detalles Bibliográficos
Autores principales: Ojuawo, Olutobi, Htwe, Thidar, Farah, Sakaria, King, Dominic, Ahmed, Imtiaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592863/
https://www.ncbi.nlm.nih.gov/pubmed/34815939
http://dx.doi.org/10.1016/j.idcr.2021.e01334
_version_ 1784599571237699584
author Ojuawo, Olutobi
Htwe, Thidar
Farah, Sakaria
King, Dominic
Ahmed, Imtiaz
author_facet Ojuawo, Olutobi
Htwe, Thidar
Farah, Sakaria
King, Dominic
Ahmed, Imtiaz
author_sort Ojuawo, Olutobi
collection PubMed
description The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with corticosteroids. His symptoms were initially thought to be related to the gastrointestinal manifestations of sarcoidosis, but further evaluation revealed a combined case of intestinal strongyloidiasis and giardiasis as well as previously undiagnosed human T-cell lymphotropic virus (HTLV −1) infection. This distinctive case of dual intestinal parasitosis highlights the need for clinicians to maintain a high level of awareness to screen for intestinal parasites, particularly Strongyloides when prescribing corticosteroids in the long term given the potential risk of hyperinfection in the setting of immunosuppression..
format Online
Article
Text
id pubmed-8592863
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-85928632021-11-22 Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis Ojuawo, Olutobi Htwe, Thidar Farah, Sakaria King, Dominic Ahmed, Imtiaz IDCases Case Report The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with corticosteroids. His symptoms were initially thought to be related to the gastrointestinal manifestations of sarcoidosis, but further evaluation revealed a combined case of intestinal strongyloidiasis and giardiasis as well as previously undiagnosed human T-cell lymphotropic virus (HTLV −1) infection. This distinctive case of dual intestinal parasitosis highlights the need for clinicians to maintain a high level of awareness to screen for intestinal parasites, particularly Strongyloides when prescribing corticosteroids in the long term given the potential risk of hyperinfection in the setting of immunosuppression.. Elsevier 2021-11-08 /pmc/articles/PMC8592863/ /pubmed/34815939 http://dx.doi.org/10.1016/j.idcr.2021.e01334 Text en © 2021 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ojuawo, Olutobi
Htwe, Thidar
Farah, Sakaria
King, Dominic
Ahmed, Imtiaz
Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_full Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_fullStr Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_full_unstemmed Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_short Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_sort dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592863/
https://www.ncbi.nlm.nih.gov/pubmed/34815939
http://dx.doi.org/10.1016/j.idcr.2021.e01334
work_keys_str_mv AT ojuawoolutobi dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis
AT htwethidar dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis
AT farahsakaria dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis
AT kingdominic dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis
AT ahmedimtiaz dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis