TY - JOUR AU - Paolucci, Elisa AU - Tonveronachi, Eva AU - Praticò, Chiara AU - Zani, Maria Cristina AU - Paonessa, Maria Cristina AU - Imperatore, Michele Maria Domenico AU - Praticò, Beniamino PY - 2019/02/20 Y2 - 2024/03/28 TI - An unusual cause of eosinophilic pleural effusion and migrating biliary stenosis: Strongyloides stercoralis infection in a young immunocompetent man JF - Italian Journal of Medicine JA - Ital J Med VL - 13 IS - 2 SE - Case Reports DO - 10.4081/itjm.2019.1121 UR - https://www.italjmed.org/ijm/article/view/itjm.2019.1121 SP - 116-120 AB - <p>We present the case of a 33-year-old Italian man who came to our attention for epigastralgia associated with polyserositis (pleural, pericardial, and peritoneal effusion with the involvement of the Douglas excavation), in the absence of a significant medical history. Laboratory analysis revealed exudative eosinophilic pleural effusion; serial imaging techniques showed a transient stenosis of the right hepatic duct and a subsequent stenosis of the left hepatic duct. After several negative serological investigations, a positive anti-strongyloides immunoglobulin G antibodies titer rose suspicions of <em>Strongyloides</em> infection, which was confirmed by positive stool sample for parasite. Ivermectin-therapy was started and the patient has fully recovered.</p> ER -