Mysterious nematodes in gastric mucosal biopsies – A diagnostic challenge

Journal Contribution ResearchOnline@JCU
Muigg, Veronika;Toutonji, Ali Al;Ruf, Marie-Therese;Sydow, Veronique;Wampfler, Rahel;Poppert, Sven;Neumayr, Andreas
Andreas Neumayr
Abstract

[Extract] A 74-year-old Swiss retiree without travel history presented to his general practitioner with a prolonged history of abdominal pain, stool irregularities, meteorism, nausea, loss of appetite, and weight loss of 17kg over several months. Besides mild blood eosinophilia (12%; 852/μl) routine blood investigations were unremarkable. Since all performed microbiological stool examinations (including multiplex PCR for bacteria and protozoa and stool microscopy for helminth eggs and protozoa) were negative, an esophagogastroduodenoscopy was performed. The endoscopy showed several superficial mucosal erosions in the stomach and in the proximal duodenum, measuring ~5–10 mm in diameter, which were biopsied.

Journal

Travel Medicine and Infectious Disease

Publication Name

Travel Medicine and Infectious Disease

Volume

36

ISBN/ISSN

1873-0442

Edition

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Issue

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Pages Count

2

Location

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Publisher

Elsevier

Publisher Url

N/A

Publisher Location

N/A

Publish Date

N/A

Url

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Date

N/A

EISSN

N/A

DOI

10.1016/j.tmaid.2020.101781