Cutaneous periumbilical purpura in disseminated strongyloidiasis in cancer patients: a pathognomonic feature of potentially lethal disease?
Braz. j. infect. dis
;
9(5): 419-424, Oct. 2005. ilus, tab
Article
Dans Anglais
| LILACS
| ID: lil-419652
ABSTRACT
Cutaneous manifestations in disseminated strongyloidiasis are infrequent but should raise the suspicion for its diagnosis. We retrospectively evaluated the charts of six patients with cancer and a proven diagnosis of disseminated strongyloidiasis. All patients had received prophylaxis with albendazole before starting antineoplastic therapy, which included high-dose steroids. They presented with septic shock, acute respiratory failure and characteristic purpuric periumbilical skin lesions. Strongyloides larvae were identified in tracheal aspirates (n=5), gastric aspirates (n=4), lung (n=2) and skin biopsies (n=2). All patients died despite antihelminthic therapy and intensive care support.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Purpura
/
Dermatoses parasitaires
/
Strongyloïdose
/
Strongyloides stercoralis
/
Tumeurs
Type d'étude:
Étude pronostique
Limites du sujet:
Animaux
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Braz. j. infect. dis
Thème du journal:
Maladies transmissibles
Année:
2005
Type:
Article
Pays d'affiliation:
Brésil
/
États-Unis d'Amérique
Institution/Pays d'affiliation:
Federal University of Rio de Janeiro/BR
/
Harvard Medical School/US
/
National Institute of Cancer/BR
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