European Journal of Clinical Microbiology and Infectious Diseases

, Volume 13, Issue 12, pp 1069–1074

A fatal case of systemic strongyloidiasis and review of the literature

  • L. H. Hagelskjær
Notes

DOI: 10.1007/BF02111831

Cite this article as:
Hagelskjær, L.H. Eur. J. Clin. Microbiol. Infect. Dis. (1994) 13: 1069. doi:10.1007/BF02111831

Abstract

Systemic strongyloidiasis is a rare but serious complication of intestinal strongyloidiasis. The condition occurs mainly in immunosuppressed patients and has a significant mortality rate. A case of systemic strongyloidiasis is described in a patient who received systemic steroid treatment, and a short review of the literature is given. The increased use of immunosuppressive and cytotoxic treatment necessitates increased awareness of this infection. HIV-infection, however, does not appear to increase the risk of developing systemic strongyloidiasis. Patients from endemic areas and travellers to such areas, even in the remote past, should be examined for strongyloidiasis before being given immunosuppressive treatment. Awareness of the possibility of systemic strongyloidiasis is essential if such a patient develops gastrointestinal or pulmonary symptoms or has repeated episodes of unexplained gram-negative infections while undergoing immunosuppressive treatment.

Copyright information

© Friedr. Vieweg & Sohn Verlagsgesellschaft mbH 1994

Authors and Affiliations

  • L. H. Hagelskjær
    • 1
    • 2
  1. 1.Danish-Bangladesh Leprosy MissionDistrict NilphamariBangladesh
  2. 2.Århus CDenmark