title: Case report: failure of subcutaneous ivermectin in treating Strongyloides hyperinfection.
abstract: A man with Escherichia coli meningitis and bacteremia, while on dexamethasone, developed Strongyloides hyperinfection syndrome and died despite salvage therapy with subcutaneous ivermectin. We report the first documented total and free levels of subcutaneous ivermectin used for therapy.
authors.affiliation: Department of Internal Medicine, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada. victor.leung@mail.mcgill.ca
authors.forename: Victor
authors.initials: V
authors.lastname: Leung
authors.forename: Ghada N
authors.initials: GN
authors.lastname: Al-Rawahi
authors.forename: Jennifer
authors.initials: J
authors.lastname: Grant
authors.forename: Lawrence
authors.initials: L
authors.lastname: Fleckenstein
authors.forename: William
authors.initials: W
authors.lastname: Bowie
mesh_terms: D000368:Aged; D000818:Animals; D000977:Antiparasitic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007279:Injections, Subcutaneous; D007559:Ivermectin / Q000008:administration & dosage* / Q000627:therapeutic use*; D008297:Male; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000150:complications / Q000188:drug therapy* / Q000469:parasitology
chemical_list: D000977:Antiparasitic Agents; D007559:Ivermectin