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Korean J Parasitol > Volume 32(1):1994 > Article

Case Report
Korean J Parasitol. 1994 Mar;32(1):49-52. Korean.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1994.32.1.49
Copyright © 1994 by The Korean Society for Parasitology
Nine cases of strongyloidiasis in Korea
S K Lee,*1B M Shin,1S K Khang,2J Y Chai,3J Kook,3S T Hong,3 and S H Lee3
1Department of Clinical Pathology, Seoul Paik Hospital, Inje University, Seoul 110-032, Korea.
Received January 04, 1994; Accepted February 04, 1994.

Abstract

Nine cases of human infection with Strongyloides stercoralis are reported among patients admitted to the Seoul Paik and Sang-Kye Paik Hospitals, Inje University, from April 1990 to January 1992. The patients, 7 males and 2 females aged between 50 and 70, either had the history of long term use of steroids for management of arthritis, or were complicated with other chronic diseases such as hypertension, liver diseases, psychotic disorders, and gastrointestinal problems. All of the nine patients revealed rhabditoid larvae of S. stercoralis in fecal examination. A 57-year-old woman who complained of arthritis and abdominal discomfort, was treated with albendazole and mebendazole, and on the 4th and 5th treatment day 220 parasitic adult females were collected from the diarrheal stool. The patient had a long history of administration of steroids for treatment of arthritis, and seems to have suffered from hyperinfection syndrome due to autoinfection with S. stercoralis. This is the 3rd report on the recovery of parasitic adult females of S. stercoralis in Korea.

Figures


Figs. 1-2
Fig. 1. Rhabditoid larvae of Strongyloides stercoralis from the feces of Case 2 (A) and Case # (B). Fig. 2. A parasitic female of S. stercvoralis collected from the feces of Case 1, after treatment with albendazole and mebendazole (Abbrev.: E-esophagus, IN-intestine, GP-genital primordium, OV-ovary, UT-uterus).

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