title: Fatal Strongyloides stercoralis infection in a patient with chronic inflammatory demyelinating polyneuropathy.
abstract: A 50-year-old villager with chronic inflammatory demyelinating polyradiculoneuropathy developed pain abdomen, diarrhea, and vomiting after 8 weeks of prednisolone (40 mg/day) therapy. After 10 weeks, he developed abdominal distension, leucocytosis, thrombocytopenia, liver dysfunction,  coagulopathy, and respiratory failure. Stool examination showed larvae of Strongyloides stercoralis. He died in spite of antibiotics, metronidazole, ivermectin, vasopressor, and artificial ventilation. The patients on corticosteroid therapy are at risk of fatal septicemia due to Strongyloides  stercoralis hyperinfection.
authors.affiliation: Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Jayantee
authors.initials: J
authors.lastname: Kalita
authors.forename: Sanjeev K
authors.initials: SK
authors.lastname: Bhoi
authors.forename: Usha Kant
authors.initials: UK
authors.lastname: Misra
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017809:Fatal Outcome; D005243:Feces / Q000469:parasitology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020277:Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / Q000175:diagnosis* / Q000473:pathology*; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D000871:Anthelmintics; D000900:Anti-Bacterial Agents; D014662:Vasoconstrictor Agents