A Case of Pancreatitis Caused by Strongyloidiasis
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Symptoms of strongyloidiasis are mostly related to the digestive tract; abdominal pain (45%), diarrhea (30%) and/or abdominal fullness. However, reports of pancreatitis caused by Strongyloidiasis are rare. A 42-year-old male complaining of severe vomiting, dehydration and diarrhea was hospitalized on June 14,1983. He had lived in Okinawa prefecture until the age of 20 years. Laboratory data revealed leucocytosis, anemia and increased serum amylase. It was suspected that he was suffering from dehydration due to acute pancreatitis or acute colitis. Numerous Rhabditiform larvae of Strongyloides Stercoralis were present in the duodenal fluid and stool. Abdominal echo and computerized tomography showed pancreas swelling. The disappearance of the Kerckring's folds were studied by the double contrast picture of the duodenum. Endoscopic retrograde cholangiopancreatography revealed stricture 2 cm from the entrance of pancreatic duct and also showed duct dilation resulting in a maximum dilation diameter of 9 mm. The common bile duct showed irregularity of wall and dilataion of diameter (15 mm). Pyrvinium pamoate was administered 5 times while duodenal intubation was repeated. When Rhabditiform larvae of Strongyloides Stercoralis in the duodenal fluid disappeared the level of serum amylase decreased to normal value. However, Rhabditiform larvae in the stool had not diminished completely. A Few days later, Rhabditiform larvae was still detected in the duodenal fluid. Therefore, he was treated with Thiabendazole,2500 mg daily for two days per os and complete deworming was achieved.
- The Medical Society of Kansai Medical Universityの論文
The Medical Society of Kansai Medical University | 論文
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