title: An unsuspected cause of diarrhoea and gastrointestinal bleeding during corticosteroid therapy.
abstract: We report on a fatal case of disseminated strongyloidiasis during corticosteroid treatment presenting with abdominal pain, diarrhoea and lower gastrointestinal bleeding. The patient emigrated from Thailand 16 years before the current hospitalisation. Complicated strongyloidiasis is a relatively unrecognized complication of corticosteroid therapy in non-endemic areas. In individuals who have resided in endemic areas, even decades before treatment, strongyloidiasis should be excluded before initiation of immunosuppressants.
authors.forename: T
authors.initials: T
authors.lastname: Vanuytsel
authors.forename: X
authors.initials: X
authors.lastname: Sagaert
authors.forename: H
authors.initials: H
authors.lastname: Van Dijck
authors.forename: K
authors.initials: K
authors.lastname: Vandepitte
authors.forename: T
authors.initials: T
authors.lastname: Shea-Donohue
authors.forename: J
authors.initials: J
authors.lastname: Tack
authors.forename: P
authors.initials: P
authors.lastname: Van den Brande
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000818:Animals; D003967:Diarrhea / Q000175:diagnosis / Q000469:parasitology*; D054242:Emigrants and Immigrants; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000469:parasitology*; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000276:immunology
chemical_list: D000305:Adrenal Cortex Hormones