Hyperinfection with strongyloides stercoralis
KMJ-Kuwait Medical Journal. 2002; 34 (3): 221-223
in English
| IMEMR
| ID: emr-59955
ABSTRACT
A case of Strongyloides hyperinfection syndrome, associated with corticosteroid therapy is described here. A 69-year-old male patient was admitted with a minor stroke. A history of headache arid a markedly elevated ESR prompted a temporal artery biopsy, which was consistent with temporal arteritis. Treatment was started with prednisolone 60 mg per day and the patient was discharged for follow-up. He was readmitted with a dense hemiplegia arid high fever. Blood culture grew E.co/i. He rapidly deteriorated arid died with evidence of disseminated intravascular coagulation and acute respiratory distress syndrome. Wet smears of sputum were positive for larvae of Strongyloides sterco ru/is, suggesting generalised infection. The importance of early diagnosis arid therapy, and screening methods for detection of parasites in stool are discussed
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Steroids
/
Strongyloidiasis
/
Strongyloides stercoralis
Type of study:
Screening study
Limits:
Humans
/
Male
Language:
English
Journal:
Kuwait Med. J.
Year:
2002
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