학술논문

Fatal Strongyloides stercoralis hyper-infection in a patient with multiple myeloma
Document Type
article
Source
Brazilian Journal of Infectious Diseases, Vol 14, Iss 5, Pp 536-539 (2010)
Subject
Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
Language
English
ISSN
1413-8670
Abstract
Strongyloides stercoralis (S.S.) is a human intestinal parasite, which may lead to complicated strongyloidiasis. We report a case of disseminated strongyloidiasis following the treatment of myeloma. The patient developed skin lesions, respiratory distress, aseptic meningitis and bacterial and fungal sepsis. The diagnosis of strongyloidiasis was established through endotracheal tube secretions. Despite the treatment with Ivermectin and Albendazole, the outcome was fatal. The value of screening for strongyloidiasis is unclear but may be of benefit in patients with hematological malignancies from high endemic areas. Keywords: acute respiratory failure, disseminated strongyloidiasis, myeloma, steroids