Strongyloides stercoralis hyperinfection with features of acute intestinal obstruction in a patient operated for prolapse disc.

摘要

This paper reports a rare case of Strongyloides stercoralis hyperinfection diagnosed on gastric aspirate smears, causing features of acute intestinal obstruction in a 65-year old patient immediately following surgery for management of a prolapsed disc at the level of L5/S1. The patient's symptoms included intermittent loose bowel movement. Four days after the patient underwent surgery for the prolapsed disc, the patient developed dysphagia for solid food followed by both solid and liquid food, and followed by vomiting with pain in the abdomen. Samples from suctioning of the patient's gastric contents showed larval forms of S. stercoralis. The patient was treated with gastro-duodenal suction drainage, replacement and maintenance of fluid, and electrolyte balance, as well as drug therapy with ivermectin for 2 weeks and albendazole for 5 days.