{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:20:00Z","timestamp":1788441600477,"version":"build-2803163510"},"reference-count":20,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,21]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    An immunocompetent man in his 60s with no prior medical or surgical history presented with 1\u2009week of progressive abdominal pain, vomiting and obstipation. CT demonstrated a distal ileal small bowel obstruction with segmental inflammatory changes raising concern for new Crohn\u2019s disease. Further history revealed ingestion of untreated tank water, prompting suspicion for a parasitic infection. This was further supported by the presence of peripheral eosinophilia. Empirical treatment with ivermectin was commenced, resulting in complete clinical resolution and normalisation of eosinophils. This case highlights\n                    <jats:italic>Strongyloides<\/jats:italic>\n                    infection as an important mimic of inflammatory bowel disease and an under-recognised cause of small bowel obstruction. Misdiagnosis poses a significant risk to the patient, as this could lead to life-threatening hyperinfection if corticosteroid therapy is initiated.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-272859","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:35:22Z","timestamp":1783593322000},"page":"e272859","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Small bowel obstruction secondary to\n                    <i>Strongyloides stercoralis<\/i>\n                    : a rare cause and mimic of inflammatory bowel disease"],"prefix":"10.1136","volume":"19","author":[{"given":"Athanasios","family":"Malkopoulos","sequence":"first","affiliation":[{"name":"Department of Digestive Health, Gold Coast University Hospital, Gold Coast, Queensland, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deloshaan","family":"Subhaharan","sequence":"additional","affiliation":[{"name":"Department of Digestive Health, Gold Coast University Hospital, Gold Coast, Queensland, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia"},{"name":"Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahed","family":"Kamal","sequence":"additional","affiliation":[{"name":"Department of Digestive Health, Gold Coast University Hospital, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Haig","sequence":"additional","affiliation":[{"name":"Department of Digestive Health, Gold Coast University Hospital, Gold Coast, Queensland, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"2026090306051039000_19.7.e272859.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-232461","article-title":"HTLV-1 and small bowel obstruction","volume":"12","author":"Martyn","year":"2019","journal-title":"BMJ Case Reports CP"},{"key":"2026090306051039000_19.7.e272859.2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/BF02348752","article-title":"Strongyloidiasis: Epidemiology, Clinical Manifestations and New Methods for Diagnosis and Treatment","volume":"1","author":"Saito","year":"1995","journal-title":"Journal of Infection and Chemotherapy"},{"key":"2026090306051039000_19.7.e272859.3","doi-asserted-by":"crossref","DOI":"10.3390\/tropicalmed3020053","article-title":"The Unique Life Cycle of Strongyloides stercoralis and Implications for Public Health Action","volume":"3","author":"Page","year":"2018","journal-title":"Trop Med Infect Dis"},{"key":"2026090306051039000_19.7.e272859.4","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-019-2022-y","article-title":"Strongyloides stercoralis infection after the use of emergency corticosteroids: a case report on hyperinfection syndrome","volume":"13","author":"Vasquez-Rios","year":"2019","journal-title":"J Med Case Rep"},{"key":"2026090306051039000_19.7.e272859.5","doi-asserted-by":"crossref","first-page":"405","DOI":"10.3928\/0090-4481-19940801-07","article-title":"Eosinophilia caused by parasites","volume":"23","author":"Mawhorter","year":"1994","journal-title":"Pediatr Ann"},{"key":"2026090306051039000_19.7.e272859.6","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i40.14831"},{"key":"2026090306051039000_19.7.e272859.7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0002640","article-title":"Diagnostic accuracy of five serologic tests for Strongyloides stercoralis infection","volume":"8","author":"Bisoffi","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"2026090306051039000_19.7.e272859.8","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/3.3.397"},{"key":"2026090306051039000_19.7.e272859.9","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-015-0799-1"},{"key":"2026090306051039000_19.7.e272859.10","doi-asserted-by":"crossref","unstructured":"Shield J , Braat S , Watts M , et al . n.d. 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