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Survival in a case of diffuse alveolar hemorrhage due to Strongyloides stercoralis hyperinfection.
Steinhaus, Daniel A; Gainor, Justin F; Vernovsky, Inna; Winsett, Julie; Beer, Dennis J.
Afiliación
  • Steinhaus DA; Department of Medicine, Massachusetts General Hospital, United States.
  • Gainor JF; Department of Medicine, Massachusetts General Hospital, United States.
  • Vernovsky I; Department of Medicine, Newton Wellesley Hospital, United States ; Division of Pulmonary Medicine, Newton Wellesley Hospital, United States.
  • Winsett J; Department of Medicine, Newton Wellesley Hospital, United States ; Division of Infectious Disease, Newton Wellesley Hospital, United States.
  • Beer DJ; Department of Medicine, Newton Wellesley Hospital, United States ; Division of Pulmonary Medicine, Newton Wellesley Hospital, United States.
Respir Med Case Rep ; 5: 4-5, 2012.
Article en En | MEDLINE | ID: mdl-26029582
Strongyloides stercoralis is an intestinal nematode endemic to tropical and sub-tropical regions. Although infection is typically asymptomatic or self-limited, immunocompromised individuals can develop a severe form of disease marked by hyperinfection. Pulmonary involvement accompanies hyperinfection in a majority of cases, though manifestations range from asymptomatic infiltrates to diffuse alveolar hemorrhage (DAH) and respiratory failure. When complicated by DAH, the hyperinfection syndrome is usually fatal. We report a case of a 65-year-old Guatemalan woman with chronic inflammatory demyelinating polyneuropathy (CIDP) treated with chronic steroids who presented with Escherichia coli urosepsis. She was initially treated with antibiotics and corticosteroids. She subsequently developed DAH due to disseminated strongyloidiasis. She was treated with oral and subcutaneous ivermectin and had complete recovery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respir Med Case Rep Año: 2012 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respir Med Case Rep Año: 2012 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido