Systemic Strongyloidiasis- Is It Section Dissemination or Hyperinfection?

• Main Authors: Srinivasan Radhakrishnan, Swathy Moorthy, Shilpa Rao, Shiny Queensty, Krishnaswamy Madhavan
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2020-02-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: fulminant; immunosuppressed; nematode; strongyloides stercoralis
• Online Access: https://www.jcdr.net/articles/PDF/13502/43158_CE[Ra1]_F(SHU)_PF1(AG_SHU)_PN(SL).pdf

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.