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.