Diarrhoea and rash in a retired farmer

VWS Wong, WK Leung, KF To, JJY Sung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong


An 83-year-old retired farmer developed invasive strongyloidiasis after using potent topical corticosteroids. Initial colonoscopy features mimicked ulcerative colitis, and the clinical course was complicated by bacterial septicaemia with Serratia and Enterococcus. He was treated successfully with oral ivermectin and antibiotics.

Hong Kong Med J 2005;11:397-8

Key words: Colitis, ulcerative; Inflammatory bowel disease; Strongyloides stercoralis; Strongyloidiasis; Ulcerative colitis