A Case of Fatal Hyperinfective Strongyloidiasis with Acute Respiratory Failure and Intestinal Perforation in Lung Cancer Patient.
- Author:
Hyeon Sik KIM
1
;
Yu Eun KIM
;
Eun Young YUN
;
Ji Hyun JU
;
Jeong Eun MA
;
Gi Dong LEE
;
Yu Ji CHO
;
Ho Cheol KIM
;
Jong Deok LEE
;
Young Sil HWANG
;
Yi Yeong JEONG
Author Information
- Publication Type:Case Report
- Keywords: Strongyloides stercoralis; Respiratory Insufficiency; Intestinal Perforation; Immunosuppression
- MeSH: Abdominal Pain; Adrenal Cortex Hormones; Aged; Bronchoscopy; Dyspnea; Emergencies; Eosinophilia; Esophagus; Humans; Immunosuppression; Intestinal Perforation; Larva; Lung; Lung Neoplasms; Parasites; Respiratory Insufficiency; Spinal Stenosis; Sputum; Strongyloides stercoralis; Strongyloidiasis
- From:Tuberculosis and Respiratory Diseases 2010;68(1):29-33
- CountryRepublic of Korea
- Language:Korean
- Abstract: Strongyloides stercoralis is an intestinal nematode that is a parasite to humans. The infecting filariform larvae of S. stercoralis enters the host body via the bloodstream, passes through the lungs, penetrates the alveoli, and then ascends the airway to transit down the esophagus into the small bowel. The infection can persist for decades without causing major symptoms and can elicit eosinophilia of varying magnitudes. Of note, this infection can also develop into a disseminated, often fatal, disease (hyperinfection) in patients receiving immunosuppressive corticosteroids. A 65-year-old man who was receiving corticosteroid therapy for the treatment of spinal stenosis was admitted to the emergency room with complaints of abdominal pain and severe dyspnea. We detected many S. stercoralis larvae in the sputum and in the bronchoalveolar-lavage sample collected by bronchoscopy. Here, we report a fatal case of strongyloidiasis with acute respiratory failure and intestinal perforation. In addition, we provide a brief review of the relevant medical literature.
