ABSTRACT
Strongyloides stercoralis hyperinfection is a rare but know complication in patients with intestinal parasitism. Immunosuppressive therapy and acquires immunodeficiency syndrome (AIDS) are major risk factors for dissemination. Diagnosis requires identification of larvae in body fluids or biopsy and the mortality rates can be as high as 80%. The enteric bacteria are carried by invasive larvae and this can result in septicemia, pneumonia, meningitis, and disseminated bacterial infection in many parts of the body. We present a case of Strongyloides stercoralis hyperinfection complicated by Escherichia coli bacteraemia in a 45-year-old man African with AIDS.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , Lung Diseases, Parasitic/diagnosis , Strongyloides stercoralis , Strongyloidiasis/diagnosis , Animals , Bacteremia/complications , Bacteremia/diagnosis , Escherichia coli Infections/complications , Escherichia coli Infections/diagnosis , Humans , Lung Diseases, Parasitic/complications , Male , Middle Aged , Strongyloidiasis/complicationsABSTRACT
El síndrome de hiperinfección por Strongyloides stercoralis, es una rara pero conocida complicación en pacientes con parasitación intestinal. La utilización de terapia inmunosupresora y el síndrome de inmunodeficiencia adquirida (SIDA) son los principales factores de riesgo para la diseminación. El diagnóstico se realiza por la visualización de larvas en muestras corporales o biopsias y la mortalidad alcanza cifras tan elevadas como el 80%. Las bacterias entéricas pueden ser transportadas por las larvas durante su migración y dar como resultado cuadros de septicemia, neumonía, meninigitis y otras infecciones bacterianas diseminadas. Presentamos un caso de síndrome de hiperinfección por Strongyloides stercoralis en un paciente africano de 45 años diagnosticado de sida
Strongyloides stercoralis hyperinfection is a rare but know complication in patients with intestinal parasitism. Immunosuppresive therapy and acquires immunodeficiency syndrome (AIDS) are major risk factors for dissemination. Diagnosis requires identification of larvae in bodyfluids or biopsy and the mortality rates can be as high as 80%. The enteric bacteria are carried by invasive larvae and this can result in septicemia, pneumonia, meningitis, and disseminated bacterial infection inmany parts of the body. We present a case of Strongyloides stercolaris hyperinfection complicated by Escherichia coli bacteriemia in a 45-year-old man African with AIDS
