Gastric strongyloidiasis in a diabetic patient

A 78-year-old male patient had admitted to local state hospital with complaints of epigastric pain, nausea and vomiting. He had suffered from these complaints for two months. An upper gastrointestinal endoscopy had revealed hyperemia and erosions at gastric antrum. The patient had been discharged after a twenty days of treatment with relief from the symptoms. The same symptoms recurred after a short period and he was referred to our hospital. Meanwhile he had lost 25 kg. At his admittance, physical examination was almost normal other than peripheral edema. Laboratory examination revealed a hyperglycemia of 6 mg/dl and hypokalemia with hypochloremia. An upper gastrointestinal endoscopic examination was repeated and esophagitis was observed at the lower segment INTRODUCTION