Double troubleStrongyloidiasis hyper infection and intestinal tuberculosis co-infection-A rare case report

Strongyloidiasis, a human intestinal parasitic infection is most commonly caused by Strongyloides stercoralis species. Strongyloides Hyperinfection is an accelerated autoinfection occurring in immunocompromised state like tuberculosis, where increased number of infectious filariform larvae are produced. Here, we report a case of 35-year-old male, known case of intestinal tuberculosis, presenting with complaints of pain abdomen, associated with vomiting. Clinical and radiological examination revealed hollow viscous perforation with peritonitis. Surgical ileal resection with anastomosis was performed and histopathological analysis of the specimen revealed eggs and larval and adult forms of Strongyloides stercoralis within crypts and superficial mucosa