title: Lethal Strongyloides stercoralis superinfection in an immunocompromised patient.
abstract: In this article, we describe the case of a 49-year-old male gypsy on hemodialysis that was referred to our center due to high fever, breathlessness, and productive cough with bloody sputum. Forty-five days before hospitalization, he was treated for vasculitis with prednisolone and intravenous cyclophosphamide. Soon after admission he was resuscitated and intubated after a cardiac arrest. A large worm load of Strongyloides stercoralis larvae was identified in the sputum. The patient was treated with thiopental 25 mg/kgBW/12 h through a Levine tube and died 24 h later.
authors.affiliation: Department of Nephrology Gregorios Vosnides, Laiko General Hospital, Athens, Greece. george.kosmadakis@googlemail.com
authors.forename: George
authors.initials: G
authors.lastname: Kosmadakis
authors.forename: Christodoulos
authors.initials: C
authors.lastname: Georgoulias
authors.forename: Vasileios
authors.initials: V
authors.lastname: Filiopoulos
authors.forename: Ioanna
authors.initials: I
authors.lastname: Stefanou
authors.forename: Despoina
authors.initials: D
authors.lastname: Smirloglou
authors.forename: Spyridon
authors.initials: S
authors.lastname: Michail
mesh_terms: D000818:Animals; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis; D015163:Superinfection / Q000469:parasitology*