Strongyloides stercoralis hyperinfection in a patient with acquired immunodeficiency syndrome
Sauca Subías, G.; Barrufet Barque, P.; Besa Beringues, A.; Rodríguez Ramos, E.
Anales de Medicina Interna 22(3): 139-141
2005
ISSN/ISBN: 0212-7199 PMID: 15839825 Document Number: 594930
S. stercoralis hyperinfection is a rare, but known complication in patients with intestinal parasitism. Immunosuppressive therapy and acquired immune deficiency syndrome (AIDS) are major risk factors for dissemination. Diagnosis requires identification of the larvae in body fluids or biopsy, and the mortality rate can be as high as 80%. The enteric bacteria are carried by invasive larvae and this can result in septicaemia, pneumonia, meningitis, and disseminated bacterial infection. We present a case of S. stercoralis hyperinfection complicated by Escherichia coli bacteraemia in a 45-year-old African male with AIDS.