Strongyloidiasis associated with nephrotic syndrome.
We report a nephrotic syndrome patient with eosinophilia who developed ileus, epigastralgia and malabsorption due to strongyloidiasis which became symptomatic by steroid therapy. The patient was then treated with thiabendazole and recovered. A percutaneous renal biopsy revealed minimal change nephrotic syndrome. This renal injury may be brought on by severe infection of Strongyloides stercoralis. It is important to rule out strongyloidiasis prior to corticosteroid therapy to patients from eosinophilia endemic areas.
Department of Internal Medicine, Mie Prefectural General Medical Center, Yokkaichi.
S
S
Mori
T
T
Konishi
K
K
Matsuoka
M
M
Deguchi
M
M
Ohta
O
O
Mizuno
T
T
Ueno
T
T
Okinaka
Y
Y
Nishimura
N
N
Ito
T
T
Nakano
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000469:parasitology; D000818:Animals; D000969:Antinematodal Agents / Q000627:therapeutic use; D004802:Eosinophilia / Q000188:drug therapy / Q000469:parasitology / Q000473:pathology; D005243:Feces / Q000469:parasitology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007415:Intestinal Obstruction / Q000188:drug therapy / Q000469:parasitology / Q000473:pathology; D007668:Kidney / Q000473:pathology; D008286:Malabsorption Syndromes / Q000188:drug therapy / Q000469:parasitology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009402:Nephrosis, Lipoid / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D010270:Parasite Egg Count; D011239:Prednisolone / Q000627:therapeutic use; D011859:Radiography; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D013827:Thiabendazole / Q000627:therapeutic use
D000969:Antinematodal Agents; D005938:Glucocorticoids; D011239:Prednisolone; D013827:Thiabendazole