Intestinal helminthes infestation in pregnancy: a case report and literature review

BACKGROUND: Pregnancy and parasitic infection are globally prevalent conditions that frequently coexist. Most pregnant patients with intestinal parasitic infections may be managed without antiparasitic chemotherapy.

CASE: Shortly after a visit to her nation of origin, a 22-year-old native of Ethiopia presented during her first trimester with gastrointestinal complaints and worms in her stool, which were identified as Taenia. Microscopic examination of her stool also demonstrated Strongyloides stercoralis larvae, likely the residue of an infection that had occurred several years prior to her presentation. She was treated with appropriate antihelmenthic agents, and her subsequent prenatal course has been uncomplicated.

CONCLUSION: The ability of Strongyloides to sustain an intestinal infection through autoinvasion and to cause serious disease (hyperinfection syndrome) among certain hosts makes it unique among intestinal helminths. In this case, the patient was treated to manage her symptoms and prevent subsequent Strongyloides hyperinfection.