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A Case of Duodenal Ulcer Due to Coinfection with Strongyloides stericoralis and Cytomegalovirus
Hyun-Ok Kim1,4, Jae Hee Kim1, Yun-Hong Cheon1, Young Sun Suh1, Min Hee Lim1, Sang Taek Heo1,4, Woon Mok Sohn3,4, Gyung Hyuck Ko3,4, and In-Gyu Bae1,4
Departments of 1Internal Medicine, 2Parasitology, and 3Pathology, 4Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea
Vol.42 Num.6 (p431~433)
Gastrointestinal strongyloidiasis and Cytomegalovirus infection mostly occur in patients receiving cancer chemotherapy, undergoing immunosuppressive therapy after organ transplantation, and suffering from acquired immune deficiency syndrome. A 56-year-old man was admitted to the hospital because of abdominal pain and constipation. He had a 10-year history of chronic obstructive pulmonary disease and has been treated intermittently with systemic steroid. The gastroduodenoscopic examination showed a single ulcer on the duodenal bulb and microscopic finding of the biopsy specimens from the ulcer revealed Strongyloides stercoralis and cytomegalovirus immunohistochemical stain positive intranuclear inclusion body on the mucosal surface. The patient was successfully treated with albendazole and ganciclovir.
Keywords : Strongyloides stercoralis, Cytomegalovirus, Duodenal ulcer, Steroids