Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series-Reference-Cited by-同舟云学术

Inflammatory bowel disease later diagnosed as strongyloides colitis in migrants to Canada: a case series

Published:2023-01 Issue: Volume:10 Page:204993612311627
ISSN:2049-9361
Container-title:Therapeutic Advances in Infectious Disease
language:en
Short-container-title:Therapeutic Advances in Infection

Author:

Raheel Hira¹,Kopalakrishnan Swana¹,Bhasker Shveta²,Makhani Leila³⁴,Clarke Shareese⁵,Nicholas Mathew N.⁶,Mufti Asfandyar⁶,Boggild Andrea K.⁷⁸⁹^ORCID

Affiliation:

1. Schulich School of Medicine and Dentistry, London, ON, Canada

2. Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

3. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada

4. Tropical Disease Unit, Division of Infectious Diseases, UHN-Toronto General Hospital, Toronto, ON, Canada

5. Lawrence S. Bloomberg Faculty of Nursing, Toronto, ON, Canada

6. Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada

7. Tropical Disease Unit, Division of Infectious Diseases, UHN-Toronto General Hospital, 200 Elizabeth Street, 13EN-218, Toronto, ON M5G 2C4, Canada

8. Department of Medicine, University of Toronto, Toronto, ON, Canada

9. Institute of Medical Science, University of Toronto, Toronto, ON, Canada

Abstract

Strongyloides colitis is a gastrointestinal manifestation of the parasitic infection, Strongyloides stercoralis, which may be misdiagnosed and treated as ulcerative colitis (UC) in patients presenting in non-endemic regions. Treatment of Strongyloides colitis as UC can lead to a lethal hyperinfection syndrome. Therefore, prior to commencing immunosuppressive treatment of UC, it is essential to use diagnostic markers to differentiate the two etiologies. In this case series, we discuss two migrant patients who were previously diagnosed with UC and treated accordingly who presented to our clinic for further investigation of suspected parasitic infection.

Funder

University of Toronto

University Health Network

Publisher

SAGE Publications

Subject

Pharmacology (medical),Infectious Diseases

Link

http://journals.sagepub.com/doi/pdf/10.1177/20499361231162719

Reference31 articles.

1. Strongyloidiasis in immigrants and refugees in Canada

2. CATMAT statement on disseminated strongyloidiasis: Prevention, assessment and management guidelines

3. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies

4. Geographical variability and environmental risk factors in inflammatory bowel disease

5. New global map of Crohnʼs disease: Genetic, environmental, and socioeconomic correlations