Parasitic Hypoproteinemia :A Diagnostic Dilemma in an Immuno competent Patient
Abstract
Strongyloidiasis is caused by a nematode helminth which causes multisystem involvement with signsand symptoms related to the gastrointestinal, pulmonary, dermatological and nervous systems. Theindex case discussed here presented with edema, hypoalbuminemia, malnutrition and anemia withurease positive duodenal ulcer. Duodenal biopsy suggested malabsorption, and strongyloidiasis wasdetected in the biopsy, which clinched the diagnosis and treatment was given with ivermectin, afterwhich the patient improved and responded to treatment. The importance lies in the fact thatparasitic infections may cause malabsorption even in immunocompetent patients, which is a rareentity but must not be missed as it responds to treatment promptly, which is cheap and effective
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