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Medicina (B Aires). 2019;79(2):147-149.

[Strongyloides hyperinfection in patient from Patagonia with HTLV-1 co-infection].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Servicio de Terapia Intensiva, Sanatorio Mater Dei, Buenos Aires, Argentina. E-mail: huntmart@gmail.com.
2
Servicio de Terapia Intensiva, Sanatorio Mater Dei, Buenos Aires, Argentina.
3
Servicio de Infectología, Sanatorio Mater Dei, Buenos Aires, Argentina.
4
Servicio de Anatomía Patológica, Sanatorio Mater Dei, Buenos Aires, Argentina.

Abstract

in English, Spanish

Strongylodiasis is an unattended condition caused by the parasite Strongyloides stercoralis. The Strongyloides hyperinfection syndrome can develop in immunosuppressed hosts, mainly in those with depression of cellular immunity. Co-infection with human T-cell lymphotropic virus (HTLV) is a risk factor for the development of severe forms of strongyloidiasis. We present the case of a 50-year-old man with Strongyloides hyperinfection and coinfection with HTLV. The diagnosis was delayed owing to its unusual epidemiology and an initial suspicion of inflammatory bowel disease. Identification of the parasite in bronchioalveolar lavage and duodenal and colonic mucosa biopsies confirmed the diagnosis. Subcutaneous ivermectin was used as an anthelmintic treatment with an adequate therapeutic response.

KEYWORDS:

Strongyloides; anthelmintics; immunocompromised patient; neglected disease

PMID:
31048281
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