Diarrhoea and rash in a retired farmer.
An 83-year-old retired farmer developed invasive strongyloidiasis after using potent topical corticosteroids. Initial colonoscopy features mimicked ulcerative colitis, and the clinical course was complicated by bacterial septicaemia with Serratia and Enterococcus. He was treated successfully with oral ivermectin and antibiotics.
Wong
V W S
VW
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Leung
W K
WK
To
K F
KF
Sung
J J Y
JJ
D000368:Aged; D000369:Aged, 80 and over; D000383:Agriculture; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000977:Antiparasitic Agents / Q000627:therapeutic use; D002990:Clobetasol / Q000009:adverse effects*; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000382:microbiology; D004756:Enterobacteriaceae Infections / Q000150:complications; D005076:Exanthema / Q000188:drug therapy; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D013322:Strongyloidiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000977:Antiparasitic Agents; D005938:Glucocorticoids; D007559:Ivermectin; D002990:Clobetasol