Strongyloides stercoralis infestation in a patient with severe ulcerative colitis.
Indian J Med Sci
;
2006 Mar; 60(3): 106-10
Article
Dans Anglais
| IMSEAR
| ID: sea-66970
ABSTRACT
Asymptomatic infestation with Strongyloides stercoralis, common in the tropics, may result in potentially fatal hyperinfection during treatment with immunosuppressive drugs used to treat patients with severe ulcerative colitis (UC). Hence, importance of early recognition and treatment of this nematode in patients with UC before starting immunosuppressive drugs can not be overemphasized. We report a 23-yrs old man with UC who presented with acute severe attack. Since his UC did not respond to intravenous hydrocortisone over 6 days, oral cyclosporine was started on 7th day after repeating stool microscopy, which revealed larvae of Strongyloides stercoralis. Duodenal aspirate also confirmed presence of multiple larvae. He responded to treatment for Strongyloides stercoralis , continuation of hydrocortisone and cyclosporine. Importance of early diagnosis of infestation with Strongyloides stercoralis while on treatment with immunosuppressive drugs for severe UC is emphasized. Difficulties in diagnosis and management of Strongyloides stercoralis infestation in patients with UC are discussed.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Strongyloïdose
/
Médecine tropicale
/
Humains
/
Mâle
/
Hydrocortisone
/
Prednisolone
/
Rectocolite hémorragique
/
Ciclosporine
/
Strongyloides stercoralis
/
Diagnostic précoce
Type d'étude:
Etude diagnostique
/
Étude de dépistage
langue:
Anglais
Texte intégral:
Indian J Med Sci
Année:
2006
Type:
Article
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