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Fatal Strongyloides stercoralis hyperinfection syndrome in an alcoholic diabetic patient from Mexico


ABSTRACT: Strongyloides stercoralis hyperinfection syndrome is a medical emergency that requires a high level of suspicion. Immunocompromised patients are at high risk of hyperinfection syndrome; however, malnutrition, alcoholism, and diabetes mellitus also need to be considered as predisposing factors. The diagnosis and treatment of Strongyloides hyperinfection are challenging and patients often have severe complications. Consequently, mortality is overwhelmingly high, with proportions above 60%. Herein, we report a case of Strongyloides hyperinfection in a 40-year-old alcoholic diabetic patient living in México. Unfortunately, the late diagnosis resulted in his death despite the treatment and supportive measures. Increased awareness is needed to prevent the dire consequences of strongyloidiasis.

SUBMITTER: Rodriguez-Perez EG 

PROVIDER: S-EPMC7449101 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Fatal Strongyloides stercoralis hyperinfection syndrome in an alcoholic diabetic patient from México

Rodríguez-Pérez Elba G EG   Arce-Mendoza Alma Y AY   Saldívar-Palacios Roberto R   Escandón-Vargas Kevin K  

Biomedica : revista del Instituto Nacional de Salud 20200501 Supl. 1


Strongyloides stercoralis hyperinfection syndrome is a medical emergency that requires a high level of suspicion. Immunocompromised patients are at high risk of hyperinfection syndrome; however, malnutrition, alcoholism, and diabetes mellitus also need to be considered as predisposing factors. The diagnosis and treatment of Strongyloides hyperinfection are challenging and patients often have severe complications. Consequently, mortality is overwhelmingly high, with proportions above 60%. Herein,  ...[more]

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