Strongyloides stercoralis hyperinfection in an immunocompetent patient with extreme eosinophilia.
This report examines an unusual case of Srongyloides stercoralis hyperinfection in a 63-yr-old man. The patient had a history of vitamin B deficiency, on and off diarrhea, and clinical pellagra for a decade and a half. There was also evidence of extreme eosinophilia. The patient did not have any associated illness suggestive of immunosuppression. Treatment with ivermectin resulted in remarkable clinical improvement and reversion of eosinophil count to normal.
Marathe
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Department of Microbiology, Pranav Pathology Laboratory, Raopura, Baroda, Gujarat, India. anantmarathe@hotmail.com
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D015746:Abdominal Pain; D000818:Animals; D000977:Antiparasitic Agents / Q000627:therapeutic use; D003967:Diarrhea; D004802:Eosinophilia / Q000150:complications* / Q000276:immunology; D005243:Feces / Q000737:chemistry / Q000469:parasitology; D006801:Humans; D007121:Immunocompetence; D007559:Ivermectin / Q000627:therapeutic use; D007814:Larva / Q000145:classification; D008297:Male; D008875:Middle Aged; D010383:Pellagra / Q000150:complications; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D015163:Superinfection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology; D014804:Vitamin B Deficiency / Q000150:complications
D000977:Antiparasitic Agents; D007559:Ivermectin