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

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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.



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.