M Saraei1, B Hosseinbigi, M Shahnazi, B Bijani. 1. Department of Parasitology and Mycology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
Abstract
PURPOSE: We report a fatal case of Strongyloides hyper-infection as the result of corticosteroid therapy of a patient with myasthenia gravis. CASE PRESENTATION: Our patient was a farmer with a past history of living in an endemic area for Strongyloides stercoralis in Iran. Hyper-infection was diagnosed during the advanced-stage disease by demonstration of enormous number of larvae in the direct smears prepared from both the stool and tracheal secretions. Unfortunately, despite appropriate anti-parasite therapy, the patient died due to respiratory failure. CONCLUSION: We recommend the provision of more awareness in high-risk people prior to immunosuppressive therapy, through screening for S. stercoralis, even in non-endemic regions.
PURPOSE: We report a fatal case of Strongyloides hyper-infection as the result of corticosteroid therapy of a patient with myasthenia gravis. CASE PRESENTATION: Our patient was a farmer with a past history of living in an endemic area for Strongyloides stercoralis in Iran. Hyper-infection was diagnosed during the advanced-stage disease by demonstration of enormous number of larvae in the direct smears prepared from both the stool and tracheal secretions. Unfortunately, despite appropriate anti-parasite therapy, the patient died due to respiratory failure. CONCLUSION: We recommend the provision of more awareness in high-risk people prior to immunosuppressive therapy, through screening for S. stercoralis, even in non-endemic regions.
Authors: E G Vilela; W T Clemente; R R L Mira; H O G Torres; L F Veloso; L P Fonseca; L R de Carvalho E Fonseca; M d C Franca; A S Lima Journal: Transpl Infect Dis Date: 2008-10-08 Impact factor: 2.228
Authors: V Fallah Omrani; Sh Fallahi; A Rostami; A Siyadatpanah; Gh Barzgarpour; S Mehravar; F Memari; F Hajialiani; Z Joneidi Journal: Infection Date: 2015-04-14 Impact factor: 3.553