title: [Multiple-organ dysfunction caused by dissemination of Strongyloides stercoralis infection: A case report].
abstract: We report here the case of a 50-year-old male patient, from a rural setting, with past history of alcoholism. He was admitted in the Intensive Care Unit due to a worsening health status after a febrile syndrome of 25 days. In addition, he had diarrhea, intense muscle ache predominantly on upper extremities and abdomen, weight loss, confusion, seizures, psychomotor agitation, tachycardia, tachipnea, anuria, septic shock, coma, and multiple-organ dysfunction syndrome. The hyperinfection syndrome caused by Strongyloides stercoralis was suspected because of severe eosinophilia (52 percent of peripheral blood leukocytes). This diagnosis was verified by the parasitological examination of stool samples by direct wet mount and Baermann techniques. Treatment with thiabendazole at 25 mg/kg per day was started, as well as cefepime, vasoactive drugs, artificial mechanic ventilation, and hemodialysis. The patient died 12 hours after admission, probably due to secondary infection with Escherichia coli.
authors.affiliation: Hospital General Docente Capitán Roberto Rodríguez Fernández, Morón, Cuba.
authors.forename: Félix
authors.initials: F
authors.lastname: Pérez
authors.forename: Fidel
authors.initials: F
authors.lastname: Núñez
authors.forename: Niurys
authors.initials: N
authors.lastname: Martín
authors.forename: Rubén
authors.initials: R
authors.lastname: Cabrera
authors.forename: Endry
authors.initials: E
authors.lastname: Rodríguez
mesh_terms: D000818:Animals; D004802:Eosinophilia / Q000209:etiology; D017809:Fatal Outcome; D005243:Feces / Q000469:parasitology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000469:parasitology*; D063305:Organ Dysfunction Scores; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications*