Invasive enteritis by Strongyloides stercoralis presenting as acute abdominal distress under corticosteroid therapy


Autoria(s): Rodrigues,Maria Aparecida Marchesan; Fróes,Raquel Cardoso; Anefalos,Alexandre; Kobayasi,Shoiti
Data(s)

01/08/2001

Resumo

Overwhelming helminthiasis is still a problem in endemic areas, especially in immunocompromised patients. We report a case of invasive intestinal strongyloidiasis that was clinically expressed as acute abdominal distress in a 73-year-old man from São Paulo who had been receiving methylprednisone, 20 mg/day, for one year for osteoarthritis. A surgical specimen from the ileum revealed invasive enteritis with severe infestation by Strongyloides stercoralis. The patient died of sepsis 6 days after surgery. The possibility of invasive strongyloidiasis should be considered in the differential diagnosis of acute abdominal distress in patients undergoing immunosuppressive therapy.

Formato

text/html

Identificador

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812001000400002

Idioma(s)

en

Publicador

Faculdade de Medicina / Universidade de São Paulo - FM/USP

Fonte

Revista do Hospital das Clínicas v.56 n.4 2001

Palavras-Chave #Strongyloides stercoralis #Invasive enteritis #Acute abdominal distress #Corticosteroid therapy
Tipo

journal article