An unusual cause of eosinophilic pleural effusion and migrating biliary stenosis: Strongyloides stercoralis infection in a young immunocompetent man

We present the case of a 33 year-old Italian man who came to our attention for epigastralgia associated with polyserositis (pleural and pericardial and peritoneal effusion with the involvement of the Douglas excavation), in the absence of a significant medical history. Laboratory analysis revealed e...

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Bibliographic Details
Published inItalian journal of medicine Vol. 12
Main Authors Elisa Paolucci, Eva Tonveronachi, Chiara Praticò, Maria Cristina Zani, Maria Cristina Paonessa, Michele Maria Domenico Imperatore, Beniamino Praticò
Format Journal Article
LanguageEnglish
Published PAGEPress Publications 01.02.2019
Subjects
eosinophilia
hepatic duct stenosis
ivermectin
Pleural effusion
Strongyloides stercoralis
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Summary:We present the case of a 33 year-old Italian man who came to our attention for epigastralgia associated with polyserositis (pleural and pericardial and peritoneal effusion with the involvement of the Douglas excavation), in the absence of a significant medical history. Laboratory analysis revealed exudative eosinophilic pleural effusion; serial imaging techniques showed a transient stenosis of the right hepatic duct and a subsequent stenosis of the left hepatic duct. After several negative sierological investigations, a positive antistrongyloides IgG antibodies titre rose suspicions of Strongyloides infection, which was confirmed by positive stool sample for parasite. Ivermectin-therapy was started and the patient’s fully recovered.
ISSN:1877-9344
1877-9352