{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:56:02Z","timestamp":1786550162328,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACG Case Rep J","ACG Case Reports Journal"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">Strongyloides stercoralis<\/jats:italic>\n                    is a small intestinal nematode that is widespread in regions with poor sanitation. We present a 57-year-old man from Colombia who was undergoing corticosteroid therapy for a meningioma who presented after neurosurgery with abdominal pain and a profound gastrointestinal (GI) bleed. The patient underwent an esophagogastroduodenoscopy (EGD), an attempted embolization, and an exploratory laparotomy to remove the necrosed duodenum. His pathology examination revealed\n                    <jats:italic toggle=\"yes\">Strongyloides<\/jats:italic>\n                    infection of the duodenum, and he died of profound blood loss. This rare diagnosis displays the importance of screening patients at a high risk of\n                    <jats:italic toggle=\"yes\">Strongyloides<\/jats:italic>\n                    infection before starting glucocorticoid therapy.\n                  <\/jats:p>","DOI":"10.14309\/crj.0000000000000018","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T15:24:35Z","timestamp":1553095475000},"page":"e00018","source":"Crossref","is-referenced-by-count":4,"title":["Strongyloides stercoralis Hyperinfection Syndrome as a Cause of Fatal Gastrointestinal Hemorrhage"],"prefix":"10.14309","volume":"6","author":[{"given":"Shanti","family":"Rao","sequence":"first","affiliation":[{"name":"Department of Medicine, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Pathology, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Bulat","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Tulane University, New Orleans, LA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"R1-20230717","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/QCO.0b013e3283551dbd","article-title":"Screening, prevention, and treatment for hyperinfection syndrome and disseminated infections caused by Strongyloides stercoralis","volume":"25","author":"Mejia","year":"2012","journal-title":"Curr Opin Infect Dis"},{"issue":"4","key":"R2-20230717","doi-asserted-by":"crossref","first-page":"822","DOI":"10.4269\/ajtmh.15-0355","article-title":"Case report: Strongyloides stercolaris hyperinfection syndrome presenting as severe, recurrent gastrointestinal bleeding, leading to a diagnosis of cushing disease","volume":"93","author":"Yee","year":"2015","journal-title":"Am J Trop Med Hyg"},{"issue":"39","key":"R3-20230717","doi-asserted-by":"crossref","first-page":"6401","DOI":"10.3748\/wjg.v12.i39.6401","article-title":"Strongyloides hyper-infection causing life-threatening gastrointestinal bleeding","volume":"12","author":"Csermely","year":"2006","journal-title":"World J Gastroenterol"},{"issue":"4","key":"R4-20230717","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1590\/1806-9282.61.04.311","article-title":"Strongyloides stercoralis hyperinfection: An unusual Cause of gastrointestinal bleeding","volume":"61","author":"Rios","year":"2015","journal-title":"Rev Assoc Med Bras"},{"issue":"11","key":"R5-20230717","first-page":"766","article-title":"Strongyloides stercoralis hyperinfection syndrome and disseminated disease","volume":"7","author":"Kassalik","year":"2011","journal-title":"Gastroenterol Hepatol (N Y)"},{"issue":"2","key":"R6-20230717","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1002\/jgh3.12041","article-title":"Gastroduodenal involvement in disseminated strongyloidiasis","volume":"2","author":"Minamide","year":"2018","journal-title":"JGH Open"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201903000-00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:16:50Z","timestamp":1786547810000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201903000-00009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.0000000000000018","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}