title: Recurrent paralytic ileus associated with strongyloidiasis in a patient with systemic lupus erythematosus.
abstract: We present an interesting case of recurrent paralytic ileus due to strongyloidiasis in a woman who was being treated with corticosteroids and immunosuppressants for systemic lupus erythematosus (SLE). She was also a carrier of human T-cell leukemia virus type I. She had a history of strongyloidiasis 8 years earlier. Recurrent episodes of paralytic ileus due to strongyloidiasis occurred during treatment of her SLE with corticosteroids. Ivermectin was given and improved the symptoms. This case shows that symptomatic strongyloidiasis can be induced in immunocompromised hosts by immunosuppressive therapy. It is important to rule out strongyloidiasis prior to starting immunosuppressive therapy in patients from endemic areas.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara 228-8555, Japan. yhide@med.kitasato-u.ac.jp
authors.forename: Hide
authors.initials: H
authors.lastname: Yoshida
authors.forename: Hirahito
authors.initials: H
authors.lastname: Endo
authors.forename: Sumiaki
authors.initials: S
authors.lastname: Tanaka
authors.forename: Akira
authors.initials: A
authors.lastname: Ishikawa
authors.forename: Hirobumi
authors.initials: H
authors.lastname: Kondo
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakamura
mesh_terms: D000818:Animals; D000977:Antiparasitic Agents / Q000627:therapeutic use; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D016867:Immunocompromised Host; D007418:Intestinal Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D007559:Ivermectin / Q000627:therapeutic use; D008180:Lupus Erythematosus, Systemic / Q000188:drug therapy*; D008875:Middle Aged; D011239:Prednisolone / Q000009:adverse effects*; D011859:Radiography; D012008:Recurrence; D013321:Strongyloides / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D000977:Antiparasitic Agents; D005938:Glucocorticoids; D007559:Ivermectin; D011239:Prednisolone