Strongyloides Stercoralis Infection With Bloody Pericardial Effusion in a Non-Immunosuppressed Patient

A 63-year-old Taiwan aboriginal male was admitted with exertional dyspnea, appetite loss and general fatigue. Echocardiography revealed moderate pericardial effusion and histological examination of the pericardiocentesis sample revealed an eosinophil-dominated bloody exudate. The larvae of Strongylo...

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Bibliographic Details
Published in:Circulation Journal 2002, Vol.66(6), pp.613-614
Main Authors: Lai, Cha-Po, Hsu, Yung-Hsiang, Wang, Ji-Hung, Lin, Chi-Mo
Format: Article
Language:English
Subjects:
Animals
Anthelmintics - therapeutic use
Biological and medical sciences
Diseases caused by nematodes
Drug Therapy, Combination
Echocardiography
Eosinophilia
Helminthic diseases
Humans
Hyperinfection
Infectious diseases
Larva
Male
Mebendazole - therapeutic use
Medical sciences
Middle Aged
Miscellaneous
Non-immunosuppression
Parasitic diseases
Pericardial effusion
Pericardial Effusion - etiology
Pericardial Effusion - parasitology
Pyrantel Pamoate - therapeutic use
Strongyloides stercoralis - isolation & purification
Strongyloidiasis
Strongyloidiasis - complications
Strongyloidiasis - diagnosis
Strongyloidiasis - drug therapy
Tropical medicine
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Summary:A 63-year-old Taiwan aboriginal male was admitted with exertional dyspnea, appetite loss and general fatigue. Echocardiography revealed moderate pericardial effusion and histological examination of the pericardiocentesis sample revealed an eosinophil-dominated bloody exudate. The larvae of Strongyloides stercoralis were detected in the pericardial specimen. After treatment with anti-nematodal agents, the eosinophilia decreased from 26% to 1% and the patient's symptoms improved. This is a rare case of Strongyloides-induced bloody pericardial effusion in a non-immunosuppressed patient. (Circ J 2002; 66: 613 - 614)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.66.613