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Infect Chemother.  2010 Dec;42(6):431-433. 10.3947/ic.2010.42.6.431.

A Case of Duodenal Ulcer Due to Coinfection with Strongyloides stericoralis and Cytomegalovirus

Affiliations
  • 1Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea. ttezebae@gmail.com
  • 2Department of Parasitology, Gyeongsang National University School of Medicine, Jinju, Korea.
  • 3Department of Pathology, Gyeongsang National University School of Medicine, Jinju, Korea.
  • 4Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.

Abstract

Gastrointestinal strongyloidiasis and Cytomegalovirus infection mostly occur in patients receiving cancer chemotherapy, undergoing immunosuppressive therapy after organ transplantation, and suffering from acquired immune deficiency syndrome. A 56-year-old man was admitted to the hospital because of abdominal pain and constipation. He had a 10-year history of chronic obstructive pulmonary disease and has been treated intermittently with systemic steroid. The gastroduodenoscopic examination showed a single ulcer on the duodenal bulb and microscopic finding of the biopsy specimens from the ulcer revealed Strongyloides stercoralis and cytomegalovirus immunohistochemical stain positive intranuclear inclusion body on the mucosal surface. The patient was successfully treated with albendazole and ganciclovir.

Keyword

Strongyloides stercoralis; Cytomegalovirus; Duodenal ulcer; Steroids

MeSH Terms

Abdominal Pain
Acquired Immunodeficiency Syndrome
Albendazole
Biopsy
Coinfection
Constipation
Cytomegalovirus
Cytomegalovirus Infections
Duodenal Ulcer
Ganciclovir
Humans
Intranuclear Inclusion Bodies
Middle Aged
Organ Transplantation
Pulmonary Disease, Chronic Obstructive
Steroids
Stress, Psychological
Strongyloides
Strongyloides stercoralis
Strongyloidiasis
Transplants
Ulcer
Albendazole
Ganciclovir
Steroids
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