{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:56:48Z","timestamp":1762253808960,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,7]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>A 45-year-old man presents with 48-hour status of high temperature, cough and dyspnoea. In the context of pandemic, the patient is initially diagnosed with COVID-19 syndrome. Later, the laboratory and ultrasound study supported acute appendicitis diagnosis. Appendicectomy was performed. The histopathology study confirmed eosinophilic appendicitis and that a parasitic infection was suspected. The stool sample was positive for <jats:italic>Strongyloides stercoralis<\/jats:italic>. The diagnosis of a <jats:italic>S<\/jats:italic>.<jats:italic>stercoralis<\/jats:italic> is a rare finding in Spain. <jats:italic>S.\u202fstercoralis<\/jats:italic> simulates clinical findings of inflammatory bowel disease or eosinophilic gastroenteritis, which may lead to the wrong therapeutic choice. Since in inflammatory diseases corticosteroid treatments are considered the initial choice in many cases, in the case of <jats:italic>S.\u202fstercoralis<\/jats:italic> infection, the administration of this therapy can be fatal. In Spain, the number of diagnoses is much lower than in the past decade, although it is highly probable that the infection has been underdiagnosed due to low clinical awareness among Spanish population.<\/jats:p>","DOI":"10.1136\/bcr-2020-239685","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T23:40:19Z","timestamp":1622590819000},"page":"e239685","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Eosinophilic appendicitis due to <i>Strongyloides stercoralis<\/i>: a challenging differential diagnosis for clinicians"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4308-0501","authenticated-orcid":false,"given":"Javier","family":"P\u00e1ramo-Zunzunegui","sequence":"first","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de M\u00f3stoles, M\u00f3stoles, Madrid, Spain"},{"name":"Department of Surgery, Rey Juan Carlos University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Rubio-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de M\u00f3stoles, M\u00f3stoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Benito-Barbero","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de M\u00f3stoles, M\u00f3stoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngeles","family":"Mu\u00f1oz-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Histopathology, Hospital Universitario de M\u00f3stoles, M\u00f3stoles, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"2025082702504324000_14.6.e239685.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0002214","article-title":"Strongyloides stercoralis: a plea for action","volume":"7","author":"Bisoffi","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082702504324000_14.6.e239685.2","doi-asserted-by":"crossref","DOI":"10.4414\/smw.2012.13727","article-title":"Neglected tropical diseases: diagnosis, clinical management, treatment and control","volume":"142","author":"Utzinger","year":"2012","journal-title":"Swiss Med Wkly"},{"key":"2025082702504324000_14.6.e239685.3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0004898","article-title":"StrongNet: an international network to improve diagnostics and access to treatment for strongyloidiasis control","volume":"10","author":"Albonico","year":"2016","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082702504324000_14.6.e239685.4","unstructured":"Centro de Coordinaci\u00f3n de Alertas y Emergencias Sanitarias . 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