ArticleCaspian journal of internal medicine2026
Strongyloides steroralis: A case report to manifest the diagnosis and treatment.
Article in Caspian journal of internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Case Report: A 78-year-old man presented with progressive bilateral lower-extremity edema lasting four months, accompanied by functional class II dyspnea, fever, chills, night sweats, nausea, lethargy, and an unintentional 20-kg weight loss over eight months. Laboratory and imaging investigations failed to identify a clear etiology, prompting further diagnostic evaluation. Histopathological examination together with stool analysis ultimately confirmed Conclusion: This case highlights the diagnostic challenge posed by strongyloidiasis in elderly patients presenting with nonspecific constitutional symptoms and protein-losing enteropathy. Clinicians practicing in endemic settings or caring for individuals with relevant epidemiologic risk factors should maintain a high index of suspicion, even in the absence of classic gastrointestinal manifestations or eosinophilia. Early recognition, appropriate parasitological and histopathological investigations, and timely antiparasitic therapy are essential to achieve favorable outcomes and prevent potentially life-threatening complications, including hyperinfection syndrome and disseminated disease.
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