Case Report: Incidentally Discovered Strongyloides stercoralis Infection after Urinary Diversion

摘要

Strongyloidiasis is a disease caused by the parasite Strongyloides stercoralis in humans. We present a case of incidentally discovered Strongyloides urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonstrated eosinophilia before surgery and detection of the parasite. Social review demonstrated endemic exposure. Our patient's case was differentiated from hyperinfection by the presence of rhabditiform larvae, and not filariform larvae, in the urine, suggesting localized small bowel infection was transferred to the urinary tract secondary to the creation of the ileal loop conduit. This patient's clinical course improved with antibiotic treatment of the bacterial infectious complications of surgery and resolution of Strongyloides infection with ivermectin. To our knowledge, this is the first case of Strongyloides infection of the urinary tract secondary to ileal loop conduit creation and not as a result of hyperinfection.