Strongyloidiasis associated with duodenal dysplastic changes: a case report

Strongyloides stercoralis is an intestinal nematode that infects the mankind worldwide, particularly in low socioeconomic status areas. It has a unique autoinfection phenomenon, which enables it to reproduce permanently even after cessation of exposure. Strongyloidiasis is an easily missed disease and is fatal usually when the immunity is suppressed due to disseminated infection and consequent multiorgan damage. The authors present a case of strongyloidiasis associated with duodenal mucosal dysplasia beyond the usual reactive changes. S. stercoralis is a treatable infection and should be cared for properly. Pathologists have a major role in its detection. Mucosal changes are not usually reactive and should not be overlooked.