Disseminated strongyloidiasis in an immunocompromised host: A case report
10.1016/j.apjtb.2017.05.004
- Author:
Nurul Suhaiza HASSANUDIN
1
;
Zubaidah Abdul WAHAB
1
;
Khalid IBRAHIM
2
;
Fadzilah Mohd NOR
3
;
Fadzilah Mohd NOR
4
Author Information
1. Microbiology Unit, Department of Pathology, Hospital Sg. Buloh
2. Director Office, Hospital Sg. Buloh
3. Microbiology Discipline, Faculty of Medicine, Universiti Teknologi MARA, Sg. Buloh Campus, Jalan Hospital
4. Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA, Puncak Alam Campus
- Publication Type:Journal Article
- Keywords:
Disseminated strongyloidiasis;
Hyperinfection;
Immunocompromised host;
Strongyloides stercoralis
- From:Asian Pacific Journal of Tropical Biomedicine
2017;7(6):587-590
- CountryChina
- Language:Chinese
-
Abstract:
Infections caused by Strongyloides stercoralis (S. stercoralis) in human are generally asymptomatic, however in immunocompromised individual, hyperinfection may develop with dissemination of larvae to extra-intestinal organs. The diagnosis could be easily missed due to asymptomatic presentation and insufficient exposure towards the infection itself, which may lead to low index of suspicion as a consequence. In this report, a case of a Malaysian male with underlying diabetes mellitus, hypertension, cerebrovascular accident, bullous pemphigus and syndrome of inappropriate antidiuretic hormone secretion who initially complained of generalized body weakness and poor appetite without any history suggestive of sepsis is presented. However, he developed septicemic shock later, and S. stercoralis larvae was incidentally found in the tracheal aspirate that was sent to look for acid fast bacilli. Regardless of aggressive resuscitation, the patient succumbed due to pulmonary hemorrhage and acute respiratory distress syndrome. It was revealed that the current case has alarmed us via incidental finding of S. stercoralis larvae in the tracheal aspirate, indicating that the importance of the disease should be emphasized in certain parts of the world and population respectively.
