Gastroduodenal Strongyloidiasis Causing Protein Losing Enteropathy – A Case Report and Brief Review of Literature

Strongyloidiasis is a common disease worldwide, has a complex life cycle and infect humans percutaneously. We report case of 46-year-old woman, presented with complaints of abdominal pain, and distension. She was on PPI (Proton Pump Inhibitors) for recurrent gastritis. She also gives history of steroid intake for joint pain. USG abdomen showed moderate ascites. Upper GI endoscopy showed diffuse erythematous gastric mucosa with subtle mosaic pattern and edematous duodenal mucosa showing patchy erythema. Histopathological examination of gastric biopsy showed infestation by Strongyloides stercoralis, the gastric mucosal glands contained various parts of parasite. The patient recovered completely after course of antihelmintic drug.