title: [Intestinal strongyloidiasis in a psoriasis patient with diabetes].
abstract: This case study underlined the importance of parasitological examination before starting immunosuppressive treatment since a heavy burden of strongyloidiasis could lead to fatal infections. It represents the first strongyloidiasis from a patient with psoriasis and diabetes mellitus in this country. In the case, 59 years old female subject had psoriasis for six years and during the treatment with topical corticosteroid and anti-psorial medication, psoriatic lesions flared up. The patient had constipation and foul smelling stool complaints. Blood tests showed an increase in eosinophil and a decrease of vitamin B12 level. Stool examination indicated the presence of abundant amount of S. stercoralis larvae. The patient was given albendazole for two weeks. After treatment, the symptoms decreased and S. stercoralis larvae were not detected in stool. In this case, it was emphasized that the clinicians planning immunosuppressive regimens should bear in mind that parasitic examination could be present in the subjects.
authors.affiliation: Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, İstanbul, Türkiye. meriraz@mynet.com.
authors.forename: Meryem
authors.initials: M
authors.lastname: Iraz
authors.forename: Ulkü
authors.initials: U
authors.lastname: Karaman
authors.forename: Buğçe
authors.initials: B
authors.lastname: Topukçu
authors.forename: Mehmet Ziya
authors.initials: MZ
authors.lastname: Doymaz
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D048909:Diabetes Complications / Q000469:parasitology*; D005243:Feces / Q000469:parasitology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011565:Psoriasis / Q000150:complications / Q000188:drug therapy / Q000469:parasitology*; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications / Q000188:drug therapy / Q000469:parasitology*; D000077682:Triclabendazole
chemical_list: D000871:Anthelmintics; D001562:Benzimidazoles; D000077682:Triclabendazole