Disseminated strongyloidiasis in a patient with rheumatoid arthritis: A case report

BACKGROUNDStrongyloidiasis is usually a chronic infection but it can develop into a fatal disease in immunosuppressed patients. CASE SUMMARYA 68-year-old male with rheumatoid arthritis was treated with a variety of immunosuppressants for the past 3 years. Recently, the patient presented with a parti...

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Bibliographic Details
Published in:World journal of clinical cases 2022, Vol.10 (18), p.6163-6167
Main Authors: Zheng, Jin-Hao, Xue, Lu-Yu
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDStrongyloidiasis is usually a chronic infection but it can develop into a fatal disease in immunosuppressed patients. CASE SUMMARYA 68-year-old male with rheumatoid arthritis was treated with a variety of immunosuppressants for the past 3 years. Recently, the patient presented with a partial small-bowel obstruction, petechia, coughing and peripheral neuropathy. The diagnosis was difficult to clarify in other hospitals. Our hospital found Strongyloides stercoralis larvae with active movement in the routine stool and sputum smears. The diagnosis of disseminated strongyloidiasis was established. Ivermectin combined with albendazole was used for treatment. The patient responded to therapy and was discharged. CONCLUSIONThis case underscores the importance of comprehensive differential diagnosis in immunocompromised patients.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v10.i18.6163