{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:03:04Z","timestamp":1777906984705,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Strongyloidiasis caused by Strongyloides stercoralis is a rare but well documented cause of massive upper gastrointestinal (GI) bleeding especially in endemic areas. However, oesophagogastroduodenoscopic findings and extractions of S. stercoralis, in the adult worm form, from the duodenum is even rarer. We report a case of a 27-year-old Tanzanian woman with HIV who presented with massive upper GI bleeding. She had S. stercoralis, in the adult worm form, traversing the stomach and duodenum and extracted by oesophagogastroduodenoscopy (OGD). She was treated successfully with Ivermectine and antiretroviral therapy for HIV was initiated. Strongyloidiasis should be included in the differential diagnosis of mass upper GI bleeding in immunosuppressive patients living in, or originating from, endemic areas. We believe this to be the first case to be reported from our environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0049475512472438","type":"journal-article","created":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T19:44:07Z","timestamp":1366055047000},"page":"46-48","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Strongyloides stercoralis infection presenting as an unusual cause of massive upper gastrointestinal bleeding in an immunosuppressed patient: a case report"],"prefix":"10.1177","volume":"43","author":[{"given":"Hyasinta","family":"Jaka","sequence":"first","affiliation":[{"name":"Endoscopic unit, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"},{"name":"Department of Internal Medicine, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mheta","family":"Koy","sequence":"additional","affiliation":[{"name":"Endoscopic unit, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"},{"name":"Department of Internal Medicine, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P","family":"Egan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Cornell Medical College, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R","family":"Meda","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam","family":"Mirambo","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humphrey D","family":"Mazigo","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrick","family":"Kabangila","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y Lynn","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Weill Cornell Medical College;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert N","family":"Peck","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania;"},{"name":"Department of Internal Medicine, Cornell Medical College, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mabula D","family":"Mchembe","sequence":"additional","affiliation":[{"name":"Department of Tropenmedizin, Missions\u00e4rztliche Klinik, W\u00fcrzburg, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillipo L","family":"Chalya","sequence":"additional","affiliation":[{"name":"Department of Surgery, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,2,26]]},"reference":[{"key":"bibr1-0049475512472438","first-page":"749","volume-title":"Bailey and Love's Short Practice of Surgery.","author":"Christobel MS","year":"2000","edition":"23"},{"key":"bibr2-0049475512472438","first-page":"397","volume":"84","author":"Dellacona S","year":"1984","journal-title":"NY State J Med"},{"key":"bibr3-0049475512472438","first-page":"4034","volume":"85","author":"Bhatt BD","year":"1990","journal-title":"Am J gastroenterology"},{"key":"bibr4-0049475512472438","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.1768"},{"key":"bibr5-0049475512472438","doi-asserted-by":"publisher","DOI":"10.1016\/S0027-9684(15)30246-7"},{"key":"bibr6-0049475512472438","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1980.00330190073023"},{"key":"bibr7-0049475512472438","doi-asserted-by":"publisher","DOI":"10.1177\/000313481007600525"},{"key":"bibr8-0049475512472438","doi-asserted-by":"publisher","DOI":"10.1089\/apc.1997.11.407"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475512472438","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475512472438","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475512472438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:28:24Z","timestamp":1777642104000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475512472438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1177\/0049475512472438"],"URL":"https:\/\/doi.org\/10.1177\/0049475512472438","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}