Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report

<p>Abstract</p> <p>Introduction</p> <p><it>Strongyloides stercoralis </it>infection affects hundreds of millions of people worldwide. As immigration rates and international travel increase, so does the number of cases of strongyloidiasis in the United States...

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Main Authors: Hunter Catherine J, Petrosyan Mikael, Asch Morris
Format: Article
Language:English
Published: BMC 2008-05-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/156
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author Hunter Catherine J
Petrosyan Mikael
Asch Morris
author_facet Hunter Catherine J
Petrosyan Mikael
Asch Morris
author_sort Hunter Catherine J
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p><it>Strongyloides stercoralis </it>infection affects hundreds of millions of people worldwide. As immigration rates and international travel increase, so does the number of cases of strongyloidiasis in the United States. Although described both in immigrant and in immunosuppressed populations, hyperinfection and dissemination of <it>S. stercoralis </it>following the initiation of antiparasitic medication is a previously unreported phenomenon.</p> <p>Case presentation</p> <p>Here we describe the case of a 38-year-old immunocompromised woman with systemic lupus erythematosus, who developed disseminated disease following treatment with albendazole (400 mg every 12 hours). Notably the patient was receiving oral prednisone (10 mg once daily), azathioprine (50 mg twice daily), and hydroxychloroquine (400 mg daily) at the time of hospitalization. The patient was subsequently treated successfully with ivermectin (200 mcg/kg daily).</p> <p>Conclusion</p> <p>The reader should be aware that dissemination of <it>S. stercoralis </it>can occur even after the initiation of antiparasitic medication.</p>
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spelling doaj.art-ea0cbca720804c599614ae4fe842cf2b2022-12-22T01:21:53ZengBMCJournal of Medical Case Reports1752-19472008-05-012115610.1186/1752-1947-2-156Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case reportHunter Catherine JPetrosyan MikaelAsch Morris<p>Abstract</p> <p>Introduction</p> <p><it>Strongyloides stercoralis </it>infection affects hundreds of millions of people worldwide. As immigration rates and international travel increase, so does the number of cases of strongyloidiasis in the United States. Although described both in immigrant and in immunosuppressed populations, hyperinfection and dissemination of <it>S. stercoralis </it>following the initiation of antiparasitic medication is a previously unreported phenomenon.</p> <p>Case presentation</p> <p>Here we describe the case of a 38-year-old immunocompromised woman with systemic lupus erythematosus, who developed disseminated disease following treatment with albendazole (400 mg every 12 hours). Notably the patient was receiving oral prednisone (10 mg once daily), azathioprine (50 mg twice daily), and hydroxychloroquine (400 mg daily) at the time of hospitalization. The patient was subsequently treated successfully with ivermectin (200 mcg/kg daily).</p> <p>Conclusion</p> <p>The reader should be aware that dissemination of <it>S. stercoralis </it>can occur even after the initiation of antiparasitic medication.</p>http://www.jmedicalcasereports.com/content/2/1/156
spellingShingle Hunter Catherine J
Petrosyan Mikael
Asch Morris
Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
Journal of Medical Case Reports
title Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
title_full Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
title_fullStr Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
title_full_unstemmed Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
title_short Dissemination of <it>Strongyloides stercoralis </it>in a patient with systemic lupus erythematosus after initiation of albendazole: a case report
title_sort dissemination of it strongyloides stercoralis it in a patient with systemic lupus erythematosus after initiation of albendazole a case report
url http://www.jmedicalcasereports.com/content/2/1/156
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AT petrosyanmikael disseminationofitstrongyloidesstercoralisitinapatientwithsystemiclupuserythematosusafterinitiationofalbendazoleacasereport
AT aschmorris disseminationofitstrongyloidesstercoralisitinapatientwithsystemiclupuserythematosusafterinitiationofalbendazoleacasereport