An unsuspected cause of diarrhoea and gastrointestinal bleeding during cortico- steroid therapy
| Journal | Volume 77 - 2014 |
| Issue | Fasc.2 - Case reports |
| Author(s) | T. Vanuytsel, X. Sagaert, H. Van Dijck, K. Vandepitte, T. Shea-Donohue, J. Tack, P. Van den Brande |
| Full article |
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| (1) Department of Internal Medicine, Division of Gastroenterology, University Hospital Leuven, University of Leuven, Belgium ; (2) Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Belgium ; (3) Department of Pathology, University Hospital Leuven ; (4) Department of Pathology, (5) Department of Internal Medicine, St Maarten Hospital, Duffel, Belgium ; (6) Department of Radiation Oncology and Department of Physiology, University of Maryland, Baltimore, USA. |
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We report on a fatal case of disseminated strongyloidiasis during corticosteroid treatment presenting with abdominal pain, diar- rhoea and lower gastrointestinal bleeding. The patient emigrated from Thailand 16 years before the current hospitalisation. Compli- cated strongyloidiasis is a relatively unrecognized complication of corticosteroid therapy in non-endemic areas. In individuals who have resided in endemic areas, even decades before treatment, strongyloidiasis should be excluded before initiation of immuno- suppressants. (Acta gastroenterol. belg., 2014, 77, 259-261). |
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© Acta Gastro-Enterologica Belgica. PMID 25090826 |
