Chylous Ascites as the Main Clinical Symptom of a Strongyloides stercoralis Infection in an Immigrant from Bosnia-Herzegovina

  • Lukas Antonitsch Internal Medicine I, Gastroenterology and Nephrology – Hospital of the Brothers of St. John of God Vienna, Vienna, Austria; Internal Medicine I, Gastroenterology, Hepatology and Diabetology – Regional Hospital Wiener Neustadt, Wiener Neustadt, Austria
  • Daniela Penz Internal Medicine I, Gastroenterology and Nephrology – Hospital of the Brothers of St. John of God Vienna, Vienna, Austria
  • Arnulf Ferlitsch Internal Medicine I, Gastroenterology and Nephrology – Hospital of the Brothers of St. John of God Vienna, Vienna, Austria

Keywords

Strongyloidiasis, immigration, Chylous ascites, ivermectin, Strongyloides stercoralis

Abstract

Extraintestinal strongyloidiasis is rare in patients without immunosuppression. We describe the first case of chylous ascites as a result of strongyloidiasis. Alcohol cessation, diuretic therapy and repeated paracentesis did not lead to improvement of refractory chylous ascites with positive nucleic acid amplification test indicative of Strongyloides stercoralis infection. Only after therapy with ivermectin, could diuretics be withdrawn.

Although direct proof of S. stercoralis was not possible by microscopy, successfully treated strongyloidiasis was confirmed in this patient by the positive and negative nucleic acid amplification tests from ascites before and after treatment together with the clinical improvement only after antiparasitic therapy.

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  • Published: 2022-11-04

    Issue: 2022: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    1.
    Antonitsch L, Penz D, Ferlitsch A. Chylous Ascites as the Main Clinical Symptom of a Strongyloides stercoralis Infection in an Immigrant from Bosnia-Herzegovina. EJCRIM 2022;doi:10.12890/2022_003603.