This is a case of a 52 year-old
female admitted in the
medicine ward of the Philippine
General Hospital (PGH) for drowsiness,
fever and
jaundice. This
paper will illustrate an unusual case of
encephalopathy, chronic abdominal pain and
jaundice due to disseminated
strongyloidiasis. Four months prior to admission (PTA), the
patient sought consult for on and off right lower quadrant
abdominal pain, easy fatigability, generalized body weakness, and
vomiting of previously ingested
food.
Physical examination revealed
pallor, right costovertebral angle and right lower quadrant abdominal tenderness.
Work-up done showed a
urinary tract infection and
hookworm. An ultrasound of the
kidneys and
urinary bladder did not reveal any renal
abscess and showed only a hyperechoic mass confirmed to be
angiomyolipoma by abdominal CT scan. Bilateral renal
cysts were also noted.
Treatment for the
urinary tract infection and
hookworm were prescribed. She was
lost to follow up.