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Case Reports
. 2017 Apr;96(4):873-875.
doi: 10.4269/ajtmh.16-0852. Epub 2017 Jan 30.

Human Gongylonema pulchrum Infection: Esophageal Symptoms and Need for Prolonged Albendazole Therapy

Claudia R Libertin  1 , Mohammed Reza  2 , Joy H Peterson  3 , Jason Lewis  4 , D Jane Hata  4
Affiliations
Case Reports

Human Gongylonema pulchrum Infection: Esophageal Symptoms and Need for Prolonged Albendazole Therapy

Claudia R Libertin et al. Am J Trop Med Hyg. 2017 Apr.

Abstract

AbstractWe describe a case of human infection with Gongylonema pulchrum acquired in southeast Georgia. The patient presented with intermittent yet persistent nausea and vomiting for months. This case describes the need for extraction of worms on two occasions each followed by courses of albendazole treatment. Gongylonema pulchrum infections with high worm burden may relapse after extraction of the worm and a 3-day short course of albendazole therapy. Longer courses of albendazole may be indicated in selected circumstances.

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Figures

Figure 1.
Figure 1.
Oral lesion that migrated under mucosa in oral cavity.
Figure 2.
Figure 2.
(A) Anterior end of the worm (male and female) demonstrating a short esophagus and presence of longitudinal rows of cuticular bosses or scutes characteristic for Gongylonema pulchrum. (B) Posterior end (male) was slightly wider than the anterior end and tapered; rows of caudal papillae are visible.
Figure 3.
Figure 3.
Embryonated eggs (50 × 25 μm) with smooth thick shells were noted both in utero and external to the specimen.
See this image and copyright information in PMC

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