Invasive enteritis by Strongyloides stercoralis presenting as acute abdominal distress under corticosteroid therapy.

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2001-07-01

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Overwhelming helminthiasis is still a problem in endemic areas, especially in immunocompromised patients. We report a case of invasive intestinal strongyloidiasis that was clinically expressed as acute abdominal distress in a 73-year-old man from São Paulo who had been receiving methylprednisone, 20 mg/day, for one year for osteoarthritis. A surgical specimen from the ileum revealed invasive enteritis with severe infestation by Strongyloides stercoralis. The patient died of sepsis 6 days after surgery. The possibility of invasive strongyloidiasis should be considered in the differential diagnosis of acute abdominal distress in patients undergoing immunosuppressive therapy.

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glucocorticoid, methylprednisolone, acute abdomen, aged, case report, enteritis, fatality, human, male, osteoarthritis, parasitology, pathology, strongyloidiasis, Abdomen, Acute, Aged, Enteritis, Fatal Outcome, Glucocorticoids, Humans, Male, Methylprednisolone, Osteoarthritis, Strongyloidiasis

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Revista do Hospital das Clinicas de Faculdade de Medicina da Universidade de Sao Paulo, v. 56, n. 4, p. 103-106, 2001.

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