Strongyloides stercoralis hyperinfection after corticosteroid therapy: a report of two cases.

Abstract:

:Two cases of Strongyloides stercoralis hyperinfection are described. Both patients were expatriates from the Indian subcontinent, and reported the use of corticosteroids. The first patient presented with severe pulmonary disease that necessitated respiratory support, followed by acute abdomen and intestinal obstruction and he succumbed to these diseases. The second patient also presented with acute pulmonary disease, which responded to antihelmintic treatment and supportive care; however, he died later due to his primary disease. The clinical features of S stercoralis hyperinfection are nonspecific; therefore, a high index of suspicion is required for early diagnosis and to start appropriate therapy. Because of the seriousness of the disease and the associated high mortality we suggest screening for S stercoralis in patients from endemic areas who will be taking immunosuppressive therapy.

journal_name

Ann Saudi Med

journal_title

Annals of Saudi medicine

authors

Al Maslamani MA,Al Soub HA,Al Khal AL,Al Bozom IA,Abu Khattab MJ,Chacko KC

doi

10.4103/0256-4947.55172

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

397-401

issue

5

eissn

0256-4947

issn

0975-4466

pii

AnnSaudiMed_2009_29_5_397_55172

journal_volume

29

pub_type

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