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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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 |
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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 |
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