title: [Disseminated strongyloidosis in AIDS patients: apropos of two cases].
abstract: Two cases with hyperinfection syndrome caused by Strongyloides stercoralis in the development of HIV/AIDS were reported. These patients had a severe immunodepression with lymphocyte counts of the subpopulation of CD4+ T cells under 200 cells/mm3. In the first case, a predominance of respiratory manifestations was observed and numerous Strongyloides rhabditiform larvae were found in sputum and faeces. In the second case, the neurological manifestations were more common, but only a larva of Strongyloides stercoralis could be detected per microscopic field (100X of magnification) in faeces. Both individuals in spite of the applied therapeutics had a fatal end. The importance of this paper is to be aware of the possibility of an infection disseminated by this helminth in some patients, and to be ready for a suitable diagnosis and an adequate treatment or prevention of the fatal consequences of the infection caused by this nematode.
authors: Instituto de Medicina Tropical Pedro Kouri. mcdorvi@ipk.sld.cu
authors: María del C
authors: Mdel C
authors: Dorvigny Scull
authors: Osvaldo
authors: O
authors: Castro
authors: Fidel
authors: F
authors: Angel Núñez
authors: Virginia
authors: V
authors: Capó
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000469:parasitology*; D000328:Adult; D000818:Animals; D003951:Diagnostic Errors; D004802:Eosinophilia / Q000469:parasitology; D017809:Fatal Outcome; D005243:Feces / Q000469:parasitology; D005260:Female; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000469:parasitology; D007814:Larva; D008297:Male; D008590:Meningoencephalitis / Q000469:parasitology; D011014:Pneumonia / Q000469:parasitology; D017171:Strongyloides stercoralis / Q000254:growth & development / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000175:diagnosis / Q000209:etiology*; D016781:Toxoplasmosis, Cerebral / Q000175:diagnosis