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LETTER TO THE EDITOR  
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 146-147
Acute gastrointestinal disorder in a healthy Buddhist abbot returning from Yaktra in India: A case of traveler diarrhea due to strongyloidiasis


Public Health Curriculum, Surin Rajabhat University, Surin, Thailand

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Date of Web Publication8-Dec-2014
 

How to cite this article:
Kaewla W, Wiwanitkit V. Acute gastrointestinal disorder in a healthy Buddhist abbot returning from Yaktra in India: A case of traveler diarrhea due to strongyloidiasis. Ann Trop Med Public Health 2014;7:146-7

How to cite this URL:
Kaewla W, Wiwanitkit V. Acute gastrointestinal disorder in a healthy Buddhist abbot returning from Yaktra in India: A case of traveler diarrhea due to strongyloidiasis. Ann Trop Med Public Health [serial online] 2014 [cited 2019 Sep 17];7:146-7. Available from: http://www.atmph.org/text.asp?2014/7/2/146/146445
Dear Sir,

Traveler diarrhea is an important condition in travel medicine and is a big problem due to traveling to the endemic area. Here, the authors report a case of traveler diarrhea due to disseminated strongyloidiasis. The present case of acute gastrointestinal disorder is a healthy Buddhist abbot returning from Yaktra in India. This Buddhist visited India for a short pilgrimage and Dhamma practice before returning to Thailand. He got the problem of severe acute gastrointestinal disorder with severe abdominal pain and diarrhea. He was hospitalized and investigated and finally, detected for strongyloidiasis. In fact, the problem of gastrointestinal problem after returning from endemic Asian countries is well-mentioned in the literature. [1],[2] Nevertheless, most cases are usually due to tropical bacterial or viral infection or intoxication. Focusing on parasitic-related traveler diarrhea, it is not common. Stronglyloidiasis is an uncommon infection among immunocompetent hosts. [3] In the present case, it is believed that due to strict meditation practice and last long heavy Yatra travel in India cause the weakness of the abbot and let him expose to the parasite. In fact, traveler diarrhea with diagnosis of strongyloidiasis is seldom reported. Lahn et al. previously reported a case of strongyloidiasis with severe clinical manifestation in a traveler returning from a trip in Sri Lanka. [4] Of interest, this is a health subject and the difficulty in diagnosis is presented in the report. [4] It is not that strongyloidiasis should be included as a possible cause of traveler diarrhea in any immunocompetent patient returning from endemic tropical world. [5]

 
   References Top

1.
Zwar NA, Torda A. Diarrhea diagnosis in a traveler returning from India. Praxis (Bern 1994) 2012;101:259-61, 263.  Back to cited text no. 1
    
2.
de Saussure PP. Management of the returning traveler with diarrhea. Therap Adv Gastroenterol 2009;2:367-75.  Back to cited text no. 2
[PUBMED]    
3.
Wang C, Xu J, Zhou X, Li J, Yan G, James AA, et al. Strongyloidiasis: An emerging infectious disease in China. Am J Trop Med Hyg 2013;88:420-5.  Back to cited text no. 3
    
4.
Lahn MM, Staub-Schmidt T, Himy R, Villard O, Molet B, Kremer M, et al. Strongyloides stercoralis infection in a non-immunosuppressed tourist with involvement of the central nervous system. Trop Geogr Med 1994;46:368-70.  Back to cited text no. 4
    
5.
Kyrönseppä H. Prevention of tropical diseases in the tropical tourist. Duodecim 1971;87:1353-5.  Back to cited text no. 5
    

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Correspondence Address:
Wasana Kaewla
Surin Rajabhat University, Surin
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.146445

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