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Fatal Strongyloidiasis following corticosteroid therapy

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Abstract

Two fatal strongyloides stercoralis infections found at autopsy in patients who had received corticosteroid therapy are presented. A successfully treated case of strongyloidiasis with pulmonary infiltration is also reported. Difficulties in diagnosis, usefulness of upper jejunal intubation, and the importance of ruling out strongyloidiasis prior to administration of corticosteroids to patients with eosinophilia, particularly Vietnam veterans, are discussed.

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References

  1. Craig and Faust's Clinical Parasitology (ed. 7), Faust, E. and Russel, P., Eds. Lea, Philadelphia, 1964, Chap. 19.

    Google Scholar 

  2. Yoeli, M., Most, H., Berman, H., andTesse, B. The problem of strongyloidism among the mentally retarded in institutions.Trans Roy Soc Trop Med Hyg 57:336, 1963.

    Article  PubMed  Google Scholar 

  3. Napier, L. Strongyloides stercoralis infection. II. Strongyloidiasis among ex-prisoners-of-war.J Trop Med Hyg 52:46, 1949.

    Google Scholar 

  4. Cruz, T., Reboucas, G., andRocha, H. Fatal strongyloidiasis in patients receiving corticosteroids.New Eng J Med 275:1093, 1966.

    PubMed  Google Scholar 

  5. Yoeli, M., Most, H., Berman, H., andScheinesson, G. The clinical picture and pathology of massive strongyloides infection in a child.Trans Roy Soc Trop Med Hyg 57:346, 1963.

    Article  PubMed  Google Scholar 

  6. Hartz, P. Human strongyloidiasis with internal autoinfection.Arch Path (Chicago) 41:601, 1946.

    Google Scholar 

  7. Swartzwelder, J., Frye, W., Muhleisen, J., Miller, J., Lamert, R., Pena Chavarria, A., Abadie, S., andAnthony, S. Diathiazanine, an effective broad-spectrum anthelmintic.JAMA 165:2063, 1957.

    Google Scholar 

  8. Stemmermann, G. N., andNakasone, N. Strongyloides stercoralis infestation. Malabsorption defect with reaction to dithiazanine iodide.JAMA 174:1250, 1960.

    Google Scholar 

  9. Most, H., Yoeli, M., Campbell, W., andCuckler, A. The treatment of strongyloides and enterobius infections with thiabendazole.Amer J Trop Med 14:379, 1965.

    PubMed  Google Scholar 

  10. Amir-Ahmadi, H., Braun, P., Neva, F. A., Gottlieb, L. S., andZamcheck, N. Strongyloidiasis at the Boston City Hospital. Emphasis on gastrointestinal pathophysiology and successful therapy with thiabendazole.Amer J Dig Dis 13:959, 1968.

    Article  PubMed  Google Scholar 

  11. Jones, C. Clinical studies in human strongyloidiasis. I. Semeiology.Gastroenterology 16:743, 1950.

    PubMed  Google Scholar 

  12. Thompson, J. Special Topics “check sample” No. ST-28, March 1967, Council on Continuing Education, American Society of Clinical Pathologists, 1967.

  13. Hudson, G. The marrow reserve of eosinophils. Effect of cortical hormones on the foreign protein response.Brit J Haemat 10:122, 1964.

    PubMed  Google Scholar 

  14. Dustin, P., Jr. Cortisone et stathmocineses; à propos de récherches sur l'éosinopénie hormonale.Sang (Paris) 28:581, 1957.

    Google Scholar 

  15. Brown, H., andPerna, V. An overwhelming strongyloides infection.JAMA 168:1648, 1958.

    Google Scholar 

  16. Kyle, L., McKay, D., andSparling, H. Strongyloidiasis.Ann Intern Med 29:1014, 1948.

    Google Scholar 

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Authors and Affiliations

  1. the University of Miami School of Medicine, USA

    Francisco Civantos MD

  2. Department of Pathology, Mount Sinai Hospital, 33140, Miami Beach, Fla

    Francisco Civantos MD & Morton J. Robinson MD

Authors
  1. Francisco Civantos MD
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  2. Morton J. Robinson MD
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Additional information

The authors wish to thank John Li, MD, for permission to include Case 2.

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Civantos, F., Robinson, M.J. Fatal Strongyloidiasis following corticosteroid therapy. Digest Dis Sci 14, 643–651 (1969). https://doi.org/10.1007/BF02239276

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  • DOI: https://doi.org/10.1007/BF02239276

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