RESUMO
We report a fatal case of disseminated strongyloidiasis masquerading clinically as stage IV caecal malignancy diagnosed at post mortem by needle necropsy. The parasite was seen in the smears from CSF, pleural fluid, ascitic fluid, splenic aspirate, lung aspirate and aspirates from caecal area. Enteric organisms like Group D streptococci and candida sp were also associated. We believe that this is the first report of widespread dissemination of S. stercoralis in AIDS from India.
Assuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Adulto , Animais , Neoplasias do Ceco/diagnóstico , Erros de Diagnóstico , Evolução Fatal , Humanos , Índia , Masculino , Strongyloides stercoralis , Estrongiloidíase/complicaçõesRESUMO
We report an unusual case of Whipple's disease diagnosed with help from the patient himself. The patient presented with rash resembling dermatitis herpetiformis, constipation, and intermittent diarrhea. A suspicion of celiac disease led to duodenal biopsy, which showed features of Whipple's disease on histology and electron microscopy.