Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
Chronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-02-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/1179547616684828 |
| _version_ | 1818827160498995200 |
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| author | Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman |
| author_facet | Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman |
| author_sort | Junior D Kalambay |
| collection | DOAJ |
| description | Chronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmonary disease (COPD), or inflammatory bowel disease (IBD) as in this case report. The inconsistency of eosinophilia and the low sensitivity of microscopic stool examination make chronic strongyloidiasis a disease that is frequently misdiagnosed in the United States. The use of corticosteroids in these misdiagnosed cases transforms chronic strongyloidiasis into disseminated strongyloidiasis or hyperacute syndrome, which leads to high mortality. Iatrogenic errors represent the essential cause of mortality due to chronic strongyloidiasis in the United States. We recommend a high index of suspicion of chronic strongyloidiasis when a physician approaches an immigrant presenting with symptoms mimicking asthma, COPD, and IBD with subcutaneous masses. |
| first_indexed | 2024-12-19T00:39:08Z |
| format | Article |
| id | doaj.art-f3ff29d7ce4f460d91a3b162013a4b56 |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-12-19T00:39:08Z |
| publishDate | 2017-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-f3ff29d7ce4f460d91a3b162013a4b562022-12-21T20:44:39ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762017-02-011010.1177/117954761668482810.1177_1179547616684828Twenty-five Years of Chronic Strongyloidiasis in an ImmigrantJunior D Kalambay0Rehana Zaman1Mohammed H Zaman2Taufiq Zaman3Medical University of Setif, AlgeriaInternal Medicine, Nephrology, Medical University of Setif, AlgeriaDivision of Critical Care, Brookdale University Hospital & Medical Center, Brooklyn, NY, USAInternal Medicine Residency, St. Elizabeth’s Medical Center, Brighton, MA, USAChronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmonary disease (COPD), or inflammatory bowel disease (IBD) as in this case report. The inconsistency of eosinophilia and the low sensitivity of microscopic stool examination make chronic strongyloidiasis a disease that is frequently misdiagnosed in the United States. The use of corticosteroids in these misdiagnosed cases transforms chronic strongyloidiasis into disseminated strongyloidiasis or hyperacute syndrome, which leads to high mortality. Iatrogenic errors represent the essential cause of mortality due to chronic strongyloidiasis in the United States. We recommend a high index of suspicion of chronic strongyloidiasis when a physician approaches an immigrant presenting with symptoms mimicking asthma, COPD, and IBD with subcutaneous masses.https://doi.org/10.1177/1179547616684828 |
| spellingShingle | Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman Twenty-five Years of Chronic Strongyloidiasis in an Immigrant Clinical Medicine Insights: Case Reports |
| title | Twenty-five Years of Chronic Strongyloidiasis in an Immigrant |
| title_full | Twenty-five Years of Chronic Strongyloidiasis in an Immigrant |
| title_fullStr | Twenty-five Years of Chronic Strongyloidiasis in an Immigrant |
| title_full_unstemmed | Twenty-five Years of Chronic Strongyloidiasis in an Immigrant |
| title_short | Twenty-five Years of Chronic Strongyloidiasis in an Immigrant |
| title_sort | twenty five years of chronic strongyloidiasis in an immigrant |
| url | https://doi.org/10.1177/1179547616684828 |
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