CASE REPORTS

Ascites with Strongyloides Stercoralis in a Patient with Acute Alcoholic Pancreatitis and Liver Cirrhosis

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Vasile Drug, Raluca Haliga, Qasim Akbar, Catalina Mihai, Cristina Cijevschi Prelipcean, Carol Stanciu

University of Medicine and Pharmacy "Gr. T. Popa", Institute of Gastroenterology and Hepatology, Iasi, Romania

Abstract

Infection with Strongyloides stercoralis (S. stercoralis) is rarely reported in temperate countries. In addition, there are few reported cases of patients with ascites with S. stercoralis worldwide, usually in immunocompromised subjects. We present the case of a young patient with alcoholic liver disease and acute pancreatitis, who developed ascites with S. stercoralis. The patient had no evident immunosupression (HIV negative and absence of immunosupressive therapy). This is the first reported case where acute pancreatitis could have precipitated infection of ascitic fluid with S. stercoralis.

Key words

Strongyloides stercoralis - ascites - acute pancreatitis - liver cirrhosis.