Systemic Strongyloidiasis- Is It Dissemination or Hyperinfection?
Published: February 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/43158.13502
Srinivasan Radhakrishnan, Swathy Moorthy, Shilpa Rao, Shiny Queensty, Krishnaswamy Madhavan
1. Postgraduate Resident, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
2. Associate Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
3. Assistant Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
4. Postgraduate Resident, Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
5. Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Correspondence
Dr. Swathy Moorthy,
Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
E-mail: drswathymoorthy@sriramachandra.edu.in
An intestinal nematode, with clinical presentations ranging from asymptomatic state to catastrophic outcomes, Strongyloides stercoralis can be a potential cause of mortality, especially in patients with immunosuppressed state. Here, we present a patient with relatively short duration of immunosuppression, developing systemic strongyloidiasis and eventually succumbed after a brief duration of ailment. The index case satisfied the description of a case of hyperinfection. However, there existed a challenge in ruling out dissemination in her since she could not be evaluated completely due to a fulminant course.
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