[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-420571-105":59,"doc-detail-420571-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","strongyloidiasis-in-a-patient-with-colonic-pseudopolyps-and-intermittent-eosinophilia","Strongyloidiasis in a Patient with Colonic Pseudopolyps and Intermittent Eosinophilia","","Strongyloides stercoralis is a parasitic infection endemic to subtropical regions but rarely seen in the northeastern United States. It can persist for years in asymptomatic carriers, with gastrointestinal manifestations that are variable and insufficiently characterized. Colonic pseudopolyps and ulceration may lead to misdiagnosis as malignancy or inflammatory bowel disease, while corticosteroids are contraindicated due to disseminated infection risk and mortality up to 68%. This case report describes a 71-year-old patient with non-disseminated gastrointestinal strongyloidiasis.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/strongyloidiasis-in-a-patient-with-colonic-pseudopolyps-and-intermittent-eosinophilia/420571/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/strongyloidiasis-in-a-patient-with-colonic-pseudopolyps-and-intermittent-eosinophilia/420571.png","ImageObject",300,407,{"name":92,"@type":93},"pixelkiddo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why can strongyloidiasis be mistaken for malignancy or inflammatory bowel disease?","Question",{"text":112,"@type":113},"Gastrointestinal findings such as polyp formation and colonic ulceration can mimic malignancy or inflammatory bowel disease.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What makes corticosteroid use particularly risky in strongyloidiasis?",{"text":117,"@type":113},"Corticosteroids are contraindicated because they increase the risk of disseminated strongyloidiasis, which has reported mortality up to 68%.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the diagnosis ultimately supported in this case?",{"text":121,"@type":113},"The diagnosis was established through gastrointestinal evaluation, including colonoscopy and endoscopy, after repeated healthcare contact and delayed consideration.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},420571,1791097620,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Case Reports  \nStrongyloidiasis in a Patient with Colonic Pseudopolyps and Intermittent Eosinophilia  \nVictoria P Angenent-Mari, B.S.1,2, Curtis Petruzzelli, MD3, Gerard J. Nau, M.D., PhD4, Jessica E. Murphy, MD5  \n1 Warren Alpert Medical School of Brown University,  \n2 Internal Medicine, Brown University Health,  \n3 Department of Internal Medicine, Brown University Health,  \n4 Division of Infectious Diseases, Brown University Health,  \n5 Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island  \nJournal of Brown Hospital Medicine Vol. 5, Issue 1, 2025  \nArticle Information  \nKeywords: Infectious Disease, Strongyloides, Inflammatory Bowel Disease  \n[https://doi.org/10.56305/001c.151724](https://doi.org/10.56305/001c.151724)  \nSubmitted: August 15, 2025 EST  \nAccepted: December 01, 2025 EST  \nPublished: January 01, 2026 EST  \nAbstract  \nStrongyloides stercoralis is a parasitic infection which is endemic to the subtropics but uncommon in the northeastern United States. Strongyloides is unique in that it can remain latent in asymptomatic carriers for years. The gastrointestinal findings of Strongyloides infection can vary and are not well studied. In some cases, Strongyloides can present with polyp formation and colonic ulceration leading clinicians to suspect malignancy or Inflammatory Bowel Disease. However, corticosteroid administration is contraindicated due to risk of disseminated Stronglyoides infection which has a reported mortality as high as 68%. In this case report we discuss the gastrointestinal and pathology findings ofa 71 year old patient with non-disseminated gastrointestinal Strongyloides infection.  \nbackground  \nStrongyloides stercoralis is a parasitic infection endemic to sub-tropical areas of the world. Many communities, particularly within the United States, are becoming increasingly diverse and international. History of international travel has become increasingly common in a world with ongoing globalization. As infection can remain asymptomatic for years, Strongyloides infection should be considered for individuals with even a remote travel history. Since Strongyloides infection can persist over decades,1 some of the well known findings such as eosinophilia can wax and wane, making it difficult for lab findings to strongly indicate the presence of parasitic infection.1 Case reports have detailed a range of gastrointestinal findings associated with Strongyloides, ranging from mucosal edema and gastric ulcers to colonic ulcerations and peudopolyps.2 Thus, recurrent gastrointestinal symptoms ina patient with risk factors such as any travel to endemic regions should prompt evaluation for Strongyloides infection. Furthermore, Strongyloidiasis has been found even in the southeastern United States, meaning that an indexof suspicion may be warranted even without travel outside of the country.3 We present a case of a patient where there was a delay in consideration of Strongyloidiasis that was ultimately diagnosed on colonoscopy and endoscopy after repeated contact with the healthcare system. This case highlights the importance of a high suspicion for  \nStrongyloidiasis even in the absence of persistent eosinophilia or recent travel.  \ncase presentation  \nA 71-year-old woman with a past medical history of type 2 diabetes mellitus and diverticulosis presented with abdominal pain, intermittent cough, nausea, vomiting, and weight loss. The patient described postprandial emesis associated with an epigastric burning sensation and warmth. She had lost 10 pounds over the last year and reported foul smelling stool, though denied hematochezia or melena. She had been seen in the Emergency Department (ED) three times over the last year for these symptoms and was diagnosed with diverticulitis and gastritis, and was sent home on antibiotics. Antibiotic treatments included a course of ciprofloxacin and metronidazole, and later a course of amoxicillin/clavulanic acid. The patient’s symptom","cbCaiqyrzrCBc5IN","https://ap.wps.com/l/cbCaiqyrzrCBc5IN","pdf",428682,"English","# Abstract\n# Background\n# Case Presentation","[{\"question\":\"Why can strongyloidiasis be mistaken for malignancy or inflammatory bowel disease?\",\"answer\":\"Gastrointestinal findings such as polyp formation and colonic ulceration can mimic malignancy or inflammatory bowel disease.\"},{\"question\":\"What makes corticosteroid use particularly risky in strongyloidiasis?\",\"answer\":\"Corticosteroids are contraindicated because they increase the risk of disseminated strongyloidiasis, which has reported mortality up to 68%.\"},{\"question\":\"How was the diagnosis ultimately supported in this case?\",\"answer\":\"The diagnosis was established through gastrointestinal evaluation, including colonoscopy and endoscopy, after repeated healthcare contact and delayed consideration.\"}]","Strongyloidiasis in a Patient with Colonic Pseudopolyps and Intermittent Eosinophilia | PDF",1790621506]