[Strongyloides stercoralis hyperinfection: autopsy case report].
Asymptomatic infection due to Strongyloides stercoralis may result in potentially fatal disease in immunodepressed patients. A case of Strongyloides stercoralis hyperinfection discovered at autopsy in a 55-year-old man who had been undergoing treatment for multiple myeloma is reported, emphasizing the clinical and pathological findings. One day earlier, he presented severe headache, abdominal pain and oliguria, from which he developed acute respiratory failure and septic shock. Because of difficulty in reaching this diagnosis, empirical treatment before starting immunosuppressive therapy may be the best strategy for preventing hyperinfection by this worm.
Núcleo de Citopatologia e Anatomia Patológica, Hospital de Base do Distrito Federal, Brasília, DF. moema.veloso@gmail.com
Moema Gonçalves Pinheiro
MG
Veloso
Anita Sperandio
AS
Porto
Mário
M
Moraes
D000818:Animals; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000276:immunology / Q000473:pathology*
Hiperinfecção por Strongyloides stercoralis: relato de caso autopsiado.