[Disseminated strongyloidiasis associated with pulmonary fibrosis and gastrointestinal bleeding].
Strongyloidiasis is a parasitic disease that can be lethal in immunosuppressed patients especially if lung fibrosis is associated, which has been rarely reported. We report the case of a patient treated with corticosteroids for pulmonary fibrosis who developed disseminated strongyloidiasis revealed by massive gastrointestinal bleeding. Diagnosis was based on histological analysis of gastrointestinal biopsies and broncho-alveolar lavage. Treatment improved digestive features as well as respiratory function.
Gloro
Romain
R
Service d'Hépato-gastroentérologie et Nutrition, CHRU de Caen. gloro-r@chu-caen.fr
Ollivier-Hourmand
Isabelle
I
Morin-Fatome
Armelle
A
Rousselot
Pierre
P
Le Moel
Gabriel
G
Dao
Thong
T
D000368:Aged; D000871:Anthelmintics / Q000627:therapeutic use; D018893:Bronchoalveolar Lavage; D001999:Bronchoscopy; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy / Q000469:parasitology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D016867:Immunocompromised Host; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D011658:Pulmonary Fibrosis / Q000188:drug therapy / Q000469:parasitology*; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000188:drug therapy
D000871:Anthelmintics; D005938:Glucocorticoids; D007559:Ivermectin; D011241:Prednisone