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 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.
Lai
Cha-Po
CP
Department of Cardiology, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan.
Hsu
Yung-Hsiang
YH
Wang
Ji-Hung
JH
Lin
Chi-Mo
CM
D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D006801:Humans; D007814:Larva; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology* / Q000469:parasitology; D011716:Pyrantel Pamoate / Q000627:therapeutic use; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000871:Anthelmintics; D011716:Pyrantel Pamoate; D008463:Mebendazole