Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation

作者：Korkmaz Ugur^*; Duman Ali Erkan; Gurkan Berra; Sirin Goktug; Topcu Yildiray; Dindar Gokhan; Gurbuz Yesim; Senturk Omer

来源：Internal Medicine, 2012, 51(8): 881-883.

DOI：10.2169/internalmedicine.51.6910

• celiac disease
• Strongyloides stercoralis
• gluten

Celiac disease (CD) is treated by eliminating all gluten from the diet. A 49-year-old man with CD was admitted to our clinic with complaints of recurrent diarrhea and abdominal pain despite strict adherence to a gluten-free diet. The duodenum was seen to be edematous on gastroduodenoscopic examination. Histological examination of the biopsy specimen taken from the duodenum showed multiple round shaped Strongyloides stercoralis (S. stercoralis) larvae within the crypts. He was successfully treated with albendazole. This case emphasizes the importance of duodenal biopsy in CD. To our knowledge, this is the first case in the literature showing CD and S. stercoralis together.

• 出版日期2012