Fatal Strongyloides stercoralis hyperinfection syndrome in an alcoholic diabetic patient from México

Autor: Rodríguez-Pérez EG; Parasitología Clínica, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México. egrope@yahoo.com., Arce-Mendoza AY; Departamento de Inmunología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, México. aya.mayola@yahoo.com., Saldívar-Palacios R; Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, México. robertosaldivar2003@yahoo.com.mx., Escandón-Vargas K; Escuela de Medicina, Universidad del Valle, Cali, Colombia. kevin.escandonvargas@gmail.com.
Jazyk: English; Spanish; Castilian
Zdroj: Biomedica : revista del Instituto Nacional de Salud [Biomedica] 2020 May 01; Vol. 40 (Supl. 1), pp. 32-36. Date of Electronic Publication: 2020 May 01.
DOI: 10.7705/biomedica.5071
Abstrakt: Strongyloides stercoralis hyperinfection syndrome is a medical emergency that requires a high level of suspicion. Immunocompromised patients are at high risk of hyperinfection syndrome; however, malnutrition, alcoholism, and diabetes mellitus also need to be considered as predisposing factors. The diagnosis and treatment of Strongyloides hyperinfection are challenging and patients often have severe complications. Consequently, mortality is overwhelmingly high, with proportions above 60%. Herein, we report a case of Strongyloides hyperinfection in a 40-year-old alcoholic diabetic patient living in México. Unfortunately, the late diagnosis resulted in his death despite the treatment and supportive measures. Increased awareness is needed to prevent the dire consequences of strongyloidiasis.
Databáze: MEDLINE