title: Fatal Strongyloides hyper-infection in a patient with myasthenia gravis.
abstract: OBJECTIVE
  We report a fatal case of Strongyloides hyper-infection as the result of corticosteroid therapy of a patient with myasthenia gravis.
  
  
  METHODS
  Our patient was a farmer with a past history of living in an endemic area for Strongyloides stercoralis in Iran. Hyper-infection was diagnosed during the advanced-stage disease by demonstration of enormous number of larvae in the direct smears prepared from both the stool and tracheal secretions. Unfortunately, despite appropriate anti-parasite therapy, the patient died due to respiratory failure.
  
  
  CONCLUSIONS
  We recommend the provision of more awareness in high-risk people prior to immunosuppressive therapy, through screening for S. stercoralis, even in non-endemic regions.
authors.affiliation: Department of Parasitology and Mycology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Saraei
authors.forename: B
authors.initials: B
authors.lastname: Hosseinbigi
authors.forename: M
authors.initials: M
authors.lastname: Shahnazi
authors.forename: B
authors.initials: B
authors.lastname: Bijani
mesh_terms: D015766:Albendazole / Q000008:administration & dosage; D000969:Antinematodal Agents / Q000008:administration & dosage; D019353:Endemic Diseases; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000009:adverse effects; D007492:Iran / Q000453:epidemiology; D007559:Ivermectin / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000188:drug therapy / Q000276:immunology / Q000469:parasitology*; D011239:Prednisolone / Q000008:administration & dosage / Q000009:adverse effects; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000276:immunology
chemical_list: D000969:Antinematodal Agents; D007166:Immunosuppressive Agents; D007559:Ivermectin; D011239:Prednisolone; D015766:Albendazole