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Clinical Characteristics of Disseminated Strongyloidiasis, Japan, 1975-2017.
- Source :
-
Emerging infectious diseases [Emerg Infect Dis] 2020 Mar; Vol. 26 (3), pp. 401-408. - Publication Year :
- 2020
-
Abstract
- Clinical characteristics of disseminated strongyloidiasis, the severest form of strongyloidiasis, are not well described. We conducted a retrospective, consecutive chart review of patients with disseminated strongyloidiasis admitted to Okinawa Chubu Hospital in Okinawa, Japan, during January 1975-December 2017. The 70 patients were classified into 3 clinical phenotypes: dissemination (32 patients [45.7%]), occult dissemination with meningitis caused by enteric organisms (12 patients [17.1%]), and occult dissemination with culture-negative suppurative meningitis (26 patients [37.1%]). Associated mortality rates were 56.3%, 16.7%, and 11.5%, respectively, and sepsis occurred in 40.6%, 58.3%, and 11.5% of cases, respectively. Common symptoms included fever (52.9% of patients), headache (32.9%), and altered mental status (24.3%). Patients were treated with thiabendazole (before 2003) or ivermectin (after 2003). Our findings show that disseminated strongyloidiasis has clinical phenotypes in terms of severity and that identification of occult dissemination, a mild form with prominent neurologic manifestations, is lifesaving.
- Subjects :
- Adult
Aged
Aged, 80 and over
Anthelmintics therapeutic use
Female
Humans
Ivermectin therapeutic use
Japan epidemiology
Male
Medical Records
Meningitis, Bacterial drug therapy
Meningitis, Bacterial etiology
Middle Aged
Retrospective Studies
Strongyloidiasis drug therapy
Strongyloidiasis etiology
Thiabendazole therapeutic use
Young Adult
Meningitis, Bacterial epidemiology
Strongyloidiasis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1080-6059
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Emerging infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 32091375
- Full Text :
- https://doi.org/10.3201/eid2603.190571