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KMID : 1038120190520010080
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Clinical Endoscopy
2019 Volume.52 No. 1 p.80 ~ p.82
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Strongyloidiasis Presenting as Yellowish Nodules in Colonoscopy of an Immunocompetent Patient
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Ra Han-Nah
Chung Jun-Won
Chung Dong-Hae
Kim Jung-Ho
Kim Yoon-Jae
Kim Kyoung-Oh
Kwon Kwang-An
Park Dong-Kyun
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Abstract
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Strongyloides stercoralis is endemic to tropical and subtropical regions, and infections are usually asymptomatic. However, immunocompromised patients, such as those receiving immunosuppressive therapy, high-dose steroids, or chemotherapy, can develop fatal hyperinfections. An 84-year-old man without any symptoms was diagnosed with strongyloidiasis during a regular screening colonoscopy. His medical history only involved a gastric endoscopic submucosal dissection for early gastric cancer 6 months previously. Few cases have been published about asymptomatic strongyloidiasis diagnosed in an immunocompetent host via endoscopic mucosal resection with characteristic colonoscopic findings. We report a case of colon-involved asymptomatic strongyloidiasis with specific colonic findings of yellowish-white nodules. This finding may be an important marker of S. stercoralis infection, which could prevent hyperinfections.
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KEYWORD
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Colonoscopy, Endoscopic mucosal resection, Strongyloidiasis
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