Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series

Strongyloides colitis is a gastrointestinal manifestation of the parasitic infection, Strongyloides stercoralis , which may be misdiagnosed and treated as ulcerative colitis (UC) in patients presenting in non-endemic regions. Treatment of Strongyloides colitis as UC can lead to a lethal hyperinfecti...

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Main Authors: Hira Raheel, Swana Kopalakrishnan, Shveta Bhasker, Leila Makhani, Shareese Clarke, Mathew N. Nicholas, Asfandyar Mufti, Andrea K. Boggild
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:Therapeutic Advances in Infectious Disease
Online Access:https://doi.org/10.1177/20499361231162719
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author Hira Raheel
Swana Kopalakrishnan
Shveta Bhasker
Leila Makhani
Shareese Clarke
Mathew N. Nicholas
Asfandyar Mufti
Andrea K. Boggild
author_facet Hira Raheel
Swana Kopalakrishnan
Shveta Bhasker
Leila Makhani
Shareese Clarke
Mathew N. Nicholas
Asfandyar Mufti
Andrea K. Boggild
author_sort Hira Raheel
collection DOAJ
description Strongyloides colitis is a gastrointestinal manifestation of the parasitic infection, Strongyloides stercoralis , which may be misdiagnosed and treated as ulcerative colitis (UC) in patients presenting in non-endemic regions. Treatment of Strongyloides colitis as UC can lead to a lethal hyperinfection syndrome. Therefore, prior to commencing immunosuppressive treatment of UC, it is essential to use diagnostic markers to differentiate the two etiologies. In this case series, we discuss two migrant patients who were previously diagnosed with UC and treated accordingly who presented to our clinic for further investigation of suspected parasitic infection.
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spelling doaj.art-99d7d55821f84215a985491df526d96e2023-03-29T14:04:15ZengSAGE PublishingTherapeutic Advances in Infectious Disease2049-937X2023-03-011010.1177/20499361231162719Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case seriesHira RaheelSwana KopalakrishnanShveta BhaskerLeila MakhaniShareese ClarkeMathew N. NicholasAsfandyar MuftiAndrea K. BoggildStrongyloides colitis is a gastrointestinal manifestation of the parasitic infection, Strongyloides stercoralis , which may be misdiagnosed and treated as ulcerative colitis (UC) in patients presenting in non-endemic regions. Treatment of Strongyloides colitis as UC can lead to a lethal hyperinfection syndrome. Therefore, prior to commencing immunosuppressive treatment of UC, it is essential to use diagnostic markers to differentiate the two etiologies. In this case series, we discuss two migrant patients who were previously diagnosed with UC and treated accordingly who presented to our clinic for further investigation of suspected parasitic infection.https://doi.org/10.1177/20499361231162719
spellingShingle Hira Raheel
Swana Kopalakrishnan
Shveta Bhasker
Leila Makhani
Shareese Clarke
Mathew N. Nicholas
Asfandyar Mufti
Andrea K. Boggild
Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
Therapeutic Advances in Infectious Disease
title Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
title_full Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
title_fullStr Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
title_full_unstemmed Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
title_short Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series
title_sort inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to canada a case series
url https://doi.org/10.1177/20499361231162719
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