title: Fatal cutaneous Strongyloidiasis as a side effect of Pemphigus foliaceus treatment with mycophenolate mofetil.
abstract: Strongyloidiasis is caused by the roundworm Strongyloides stercoralis (S. stercoralis). It is uncommon in the Unites States, and most cases are brought by travelers who have visited or lived in South America or Africa. Individuals with an intact immune system may experience mild gastrointestinal symptoms or none at all. In contrast, those with a compromised immune system may develop a rapidly fatal infection, commonly referred to as hyperinfection syndrome or disseminated Strongyloidiasis. We present a 66-year-old inmunocompromised male with Pemphigus Foliaceus who was admitted to the intensive care unit in critical condition and in whom a skin biopsy prove to be the main tool in the diagnosis of Strongyloidiasis.
authors: Department of Dermatology and Cutaneous Surgery, L. Miller School of Medicine, University of Miami, Miami, FL, USA.
authors: Magalys
authors: M
authors: Vitiello
authors: Michael
authors: M
authors: Shelling
authors: Ivan
authors: I
authors: Camacho
authors: Clara
authors: C
authors: Milikowski
authors: Francisco A
authors: FA
authors: Kerdel
mesh_terms: D000368:Aged; D000818:Animals; D003879:Dermatologic Agents / Q000627:therapeutic use*; D017809:Fatal Outcome; D006172:Guyana / Q000208:ethnology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009173:Mycophenolic Acid / Q000031:analogs & derivatives* / Q000627:therapeutic use; D010392:Pemphigus / Q000150:complications / Q000188:drug therapy*; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014481:United States
chemical_list: D003879:Dermatologic Agents; D009173:Mycophenolic Acid