Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report
ABSTRACT Background and Objective: Strongyloides infection is usually asymptomatic in healthy individuals; however, immunocompromised patients are subject to potential hyperinfection involvement. Hereby, we report disseminated and hyperinfection strongyloidiasis in two immunosuppressed pa...
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doaj-5736a09af36549cbb5525591bc1c99a82021-09-01T13:20:29ZengGolestan University of Medical SciencesMedical Laboratory Journal2538-44492019-11-011365154Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case ReportAhmadReza Meamar0Nahid jalallou1Leila Masoori2Maryam Alipour3 Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Department of Medical Laboratory Science, AJA University of Medical Sciences, Tehran, Iran Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences ABSTRACT Background and Objective: Strongyloides infection is usually asymptomatic in healthy individuals; however, immunocompromised patients are subject to potential hyperinfection involvement. Hereby, we report disseminated and hyperinfection strongyloidiasis in two immunosuppressed patients from north of Iran, an endemic region for Strongyloides stercoralis. Case description: After assessment of clinical symptoms, disseminated strongyloidiasis was identified in the first case with pemphigus vulgaris by the presence of abundant larvae in direct stool smears and gastric biopsy. The second patient had metastatic carcinoma and was hospitalized with complicated symptoms. The infection was diagnosed by detection of numerous first-stage larvae in wet mount stool smears and agar plate analysis. Despite antiparasitic treatment, both patients died during the hospitalization. Conclusion: Delayed diagnosis of active strongyloidiasis in immunosuppressed patients can lead to hyperinfection syndrome. Thus, screening for S. stercoralis infection in these patients is recommended in endemic regions to reduce mortalities. Keywords: Strongyloides stercoralis, Disseminated strongyloidiasis, Hyperinfection.http://mlj.goums.ac.ir/article-1-1138-en.htmlstrongyloides stercoralisdisseminated strongyloidiasishyperinfection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
AhmadReza Meamar Nahid jalallou Leila Masoori Maryam Alipour |
spellingShingle |
AhmadReza Meamar Nahid jalallou Leila Masoori Maryam Alipour Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report Medical Laboratory Journal strongyloides stercoralis disseminated strongyloidiasis hyperinfection |
author_facet |
AhmadReza Meamar Nahid jalallou Leila Masoori Maryam Alipour |
author_sort |
AhmadReza Meamar |
title |
Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report |
title_short |
Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report |
title_full |
Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report |
title_fullStr |
Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report |
title_full_unstemmed |
Disseminated and Hyperinfection Fatal Strongyloidiasis in Two Patients on Immunosuppressive Therapy: A Case Report |
title_sort |
disseminated and hyperinfection fatal strongyloidiasis in two patients on immunosuppressive therapy: a case report |
publisher |
Golestan University of Medical Sciences |
series |
Medical Laboratory Journal |
issn |
2538-4449 |
publishDate |
2019-11-01 |
description |
ABSTRACT
Background and Objective: Strongyloides infection is usually asymptomatic in healthy individuals; however, immunocompromised patients are subject to potential hyperinfection involvement. Hereby, we report disseminated and hyperinfection strongyloidiasis in two immunosuppressed patients from north of Iran, an endemic region for Strongyloides stercoralis.
Case description: After assessment of clinical symptoms, disseminated strongyloidiasis was identified in the first case with pemphigus vulgaris by the presence of abundant larvae in direct stool smears and gastric biopsy. The second patient had metastatic carcinoma and was hospitalized with complicated symptoms. The infection was diagnosed by detection of numerous first-stage larvae in wet mount stool smears and agar plate analysis. Despite antiparasitic treatment, both patients died during the hospitalization.
Conclusion: Delayed diagnosis of active strongyloidiasis in immunosuppressed patients can lead to hyperinfection syndrome. Thus, screening for S. stercoralis infection in these patients is recommended in endemic regions to reduce mortalities.
Keywords: Strongyloides stercoralis, Disseminated strongyloidiasis, Hyperinfection. |
topic |
strongyloides stercoralis disseminated strongyloidiasis hyperinfection |
url |
http://mlj.goums.ac.ir/article-1-1138-en.html |
work_keys_str_mv |
AT ahmadrezameamar disseminatedandhyperinfectionfatalstrongyloidiasisintwopatientsonimmunosuppressivetherapyacasereport AT nahidjalallou disseminatedandhyperinfectionfatalstrongyloidiasisintwopatientsonimmunosuppressivetherapyacasereport AT leilamasoori disseminatedandhyperinfectionfatalstrongyloidiasisintwopatientsonimmunosuppressivetherapyacasereport AT maryamalipour disseminatedandhyperinfectionfatalstrongyloidiasisintwopatientsonimmunosuppressivetherapyacasereport |
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1721182480225009664 |