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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 2  |  Page : 160-163

Intestinal strongyloidiasis in a patient of myasthenia gravis and diabetes mellitus


Department of Microbiology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India

Correspondence Address:
Prachala Rathod
Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjhs.sjhs_225_19

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Strongyloidiasis is endemic in tropical and subtropical countries. It can become fatal and life-threatening in immunocompromised patients. We report a case of a 36-year-old female who was diagnosed with myasthenia gravis and type II diabetes mellitus. The patient complained of diarrhea with fever, vomiting, and dyspnea. On examination of stool in wet mount, 10–15 motile larvae/high-power field were seen. A methylene blue staining of fecal specimen was done to confirm the larvae as rhabditiform larvae of Strongyloides stercoralis. The patient was successfully treated with ivermectin. The authors recommend that in patients with myasthenia gravis, presenting with gastrointestinal manifestations, strongyloidiasis should be suspected, investigated, and treated accordingly.


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