A Case of Steroid-induced Hyperinfective Strongyloidiasis with Bacterial Meningitis / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 330-334, 2012.
Article
in Korean
| WPRIM
| ID: wpr-11953
ABSTRACT
Strongyloides stercoralis is a soil transmitted intestinal nematode that is endemic in the tropical and subtropical regions. In most individuals who are infected, chronic, usually asymptomatic, gastrointestinal infection persists. But, in immunocompromized hosts or in patients receiving immunosuppressive therapy, autoinfection of S. stercoralis may result in the dissemination of larvae, leading to fatal hyperinfection and increased rate of complications. We report a case of hyperinfective strongyloidiasis with bacterial meningitis in a patient receiving steroid therapy. Strongyloidiasis was diagnosed by the presence of filariform larvae of S. stercoralis in the bronchoalveolar lavage cytology and upper gastrointestinal endoscopic biopsy specimen. Her clinical symptoms had progressively aggravated and developed bacterial meningitis during treatment. She died despite aggressive antibiotic and antihelminthic therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Steroids
/
Strongyloidiasis
/
Bronchoalveolar Lavage Fluid
/
Magnetic Resonance Imaging
/
Endoscopy, Gastrointestinal
/
Meningitis, Bacterial
/
Immunocompromised Host
/
Enterococcus faecium
/
Strongyloides stercoralis
/
Adrenal Insufficiency
Limits:
Animals
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2012
Type:
Article
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