Strongyloides stercoralis hyperinfection: a dreaded but still missed diagnosis

Strongyloides stercoralis (S. stercoralis), an intestinal nematode, is endemic in tropical and subtropical regions, being less prevalent in temperate climates. The number of infected persons worldwide ranges between 10 million and 100 million people. In Brazil the reported prevalence is 13%. Chronic...

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Bibliographic Details
Main Authors: Milton Roberto Furst Crenitte (Author), Fernando Peixoto Ferraz de Campos (Author), Aloísio Felipe-Silva (Author)
Format: Book
Published: University of São Paulo, 2012-09-01T00:00:00Z.
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100 1 0 |a Milton Roberto Furst Crenitte  |e author 
700 1 0 |a Fernando Peixoto Ferraz de Campos  |e author 
700 1 0 |a Aloísio Felipe-Silva  |e author 
245 0 0 |a Strongyloides stercoralis hyperinfection: a dreaded but still missed diagnosis 
260 |b University of São Paulo,   |c 2012-09-01T00:00:00Z. 
500 |a 10.4322/acr.%y.48197 
500 |a 2236-1960 
520 |a Strongyloides stercoralis (S. stercoralis), an intestinal nematode, is endemic in tropical and subtropical regions, being less prevalent in temperate climates. The number of infected persons worldwide ranges between 10 million and 100 million people. In Brazil the reported prevalence is 13%. Chronic infection may be asymptomatic or accompanied by gastrointestinal and respiratory symptoms. Under immunosuppressive conditions, the infection assumes serious proportions frequently accompanied by septic shock, disseminated intravascular coagulopathy and respiratory distress syndrome. The authors report a case of a 50-year-old female patient who was a chronic user of glucocorticoids and had been seeking medical attention for two months because of continuous gastrointestinal symptoms. She was admitted to the emergency room with clinical signs of septic shock and died after four days despite an adequate antibiotic regimen, vasopressor drugs, and ventilatory support. The autopsy revealed the unsuspected finding of  S. stercoralishyperinfection and septicemia. 
546 |a EN 
690 |a Strongyloides stercoralis 
690 |a Glucocorticoids 
690 |a Immunocompromised host 
690 |a Shock 
690 |a septic 
690 |a Medicine 
690 |a R 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Autopsy and Case Reports, Vol 2, Iss 3 (2012) 
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