Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis

The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with c...

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Autores principales:	Olutobi Ojuawo, Thidar Htwe, Sakaria Farah, Dominic King, Imtiaz Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Sarcoidosis Giardiasis Strongyloidiasis Corticosteroid therapy Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/6929bb7b68cd41d181b4f207f7df3c62
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spelling	oai:doaj.org-article:6929bb7b68cd41d181b4f207f7df3c622021-11-12T04:34:10ZDual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis2214-250910.1016/j.idcr.2021.e01334https://doaj.org/article/6929bb7b68cd41d181b4f207f7df3c622021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214250921002900https://doaj.org/toc/2214-2509The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with corticosteroids. His symptoms were initially thought to be related to the gastrointestinal manifestations of sarcoidosis, but further evaluation revealed a combined case of intestinal strongyloidiasis and giardiasis as well as previously undiagnosed human T-cell lymphotropic virus (HTLV −1) infection. This distinctive case of dual intestinal parasitosis highlights the need for clinicians to maintain a high level of awareness to screen for intestinal parasites, particularly Strongyloides when prescribing corticosteroids in the long term given the potential risk of hyperinfection in the setting of immunosuppression..Olutobi OjuawoThidar HtweSakaria FarahDominic KingImtiaz AhmedElsevierarticleSarcoidosisGiardiasisStrongyloidiasisCorticosteroid therapyInfectious and parasitic diseasesRC109-216ENIDCases, Vol 26, Iss , Pp e01334- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sarcoidosis Giardiasis Strongyloidiasis Corticosteroid therapy Infectious and parasitic diseases RC109-216
spellingShingle	Sarcoidosis Giardiasis Strongyloidiasis Corticosteroid therapy Infectious and parasitic diseases RC109-216 Olutobi Ojuawo Thidar Htwe Sakaria Farah Dominic King Imtiaz Ahmed Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
description	The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with corticosteroids. His symptoms were initially thought to be related to the gastrointestinal manifestations of sarcoidosis, but further evaluation revealed a combined case of intestinal strongyloidiasis and giardiasis as well as previously undiagnosed human T-cell lymphotropic virus (HTLV −1) infection. This distinctive case of dual intestinal parasitosis highlights the need for clinicians to maintain a high level of awareness to screen for intestinal parasites, particularly Strongyloides when prescribing corticosteroids in the long term given the potential risk of hyperinfection in the setting of immunosuppression..
format	article
author	Olutobi Ojuawo Thidar Htwe Sakaria Farah Dominic King Imtiaz Ahmed
author_facet	Olutobi Ojuawo Thidar Htwe Sakaria Farah Dominic King Imtiaz Ahmed
author_sort	Olutobi Ojuawo
title	Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_short	Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_full	Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_fullStr	Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_full_unstemmed	Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
title_sort	dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/6929bb7b68cd41d181b4f207f7df3c62
work_keys_str_mv	AT olutobiojuawo dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis AT thidarhtwe dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis AT sakariafarah dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis AT dominicking dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis AT imtiazahmed dualintestinalparasitosisunmaskedbytreatmentforgastrointestinalsarcoidosis
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Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis

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