1. Strongyloides stercoralis hyperinfection in a patient with the acquired immune deficiency syndrome.
- Author
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Maayan S, Wormser GP, Widerhorn J, Sy ER, Kim YH, and Ernst JA
- Subjects
- Acquired Immunodeficiency Syndrome parasitology, Adult, Animals, Colombia ethnology, Feces parasitology, Humans, Male, New York City, Sputum parasitology, Strongyloides isolation & purification, Strongyloidiasis transmission, Acquired Immunodeficiency Syndrome complications, Strongyloidiasis diagnosis
- Abstract
Severe infections with Strongyloides stercoralis occur in immunocompromised patients. Strongyloides hyperinfection syndrome complicated by gram-negative bacteremia and meningitis in a bisexual man with the acquired immune deficiency syndrome (AIDS) is described. Increased awareness of this infection, which may also be sexually transmitted, is recommended when caring for patients with AIDS who are homosexual, or have resided in areas endemic for strongyloidiasis. Multiple stool examinations should be performed routinely for such patients. Examination of sputum for the parasite is recommended if pneumonia is present. Prompt diagnosis and therapy are essential for prevention of fatal dissemination.
- Published
- 1987
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