Case Report: A Case of Recurrent Strongyloides stercoralis Colitis in a Patient with Multiple Myeloma.
Am J Trop Med Hyg
; 97(5): 1619-1622, 2017 Nov.
Article
en En
| MEDLINE
| ID: mdl-29140233
Strongyloides stercoralis chronic infection is frequently subclinical and thus under-recognized, although its increasing prevalence in nonendemic regions has implications for immunocompromised hosts. We present a 75-year-old male with stage II multiple myeloma who presented with relapse of Strongyloides infection after initial treatment, negative surveillance testing, and subsequent resumption of chemotherapy for his multiple myeloma. The optimal regimen for secondary prophylaxis against recurrent infections is unknown. Secondary prophylaxis should be considered for patients who recur and/or remain at high risk of recurrence because of ongoing immunosuppression. We implemented a prophylactic regimen of ivermectin 200 mcg/kg once monthly. In addition, improved laboratory assays for strongyloidiasis are needed to aid with diagnosis, monitoring of treatment response, and early detection of relapse.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estrongiloidiasis
/
Colitis
/
Mieloma Múltiple
Tipo de estudio:
Risk_factors_studies
/
Screening_studies
Límite:
Aged
/
Animals
/
Humans
/
Male
Idioma:
En
Revista:
Am J Trop Med Hyg
Año:
2017
Tipo del documento:
Article
Pais de publicación:
Estados Unidos