title: Atypical clinical presentation of strongyloidiasis in a patient co-infected with human T cell lymphotrophic virus type I.
abstract: Alterations in the immunologic response induced by human T cell lymphotrophic virus type I (HTLV-I) predispose the development of disseminated strongyloidiasis. We report a case of an atypical clinical presentation of strongyloidiasis in a patient co-infected with HTLV-I causing scrotal and perineal pain and infertility. Strongyloides stercoralis was found in the analysis of the sperm and specific therapy for strongyloidiasis was associated with disappearance of the symptoms.
authors.affiliation: Serviço de Imunologia, Hospital Universitario Professor Edgard Santos, e Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
authors.forename: Maria Aurélia F
authors.initials: MA
authors.lastname: Porto
authors.forename: Lêda M
authors.initials: LM
authors.lastname: Alcântara
authors.forename: Marcelo
authors.initials: M
authors.lastname: Leal
authors.forename: Néviton
authors.initials: N
authors.lastname: Castro
authors.forename: Edgar M
authors.initials: EM
authors.lastname: Carvalho
mesh_terms: D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D015490:HTLV-I Infections / Q000150:complications / Q000175:diagnosis*; D015368:Human T-lymphotropic virus 1 / Q000302:isolation & purification; D006801:Humans; D007248:Infertility, Male / Q000209:etiology; D008297:Male; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000150:complications / Q000175:diagnosis*