Hovette P, Tuan J F, Camara P, Lejean Y, Lô N, Colbacchini P
Service des Maladies Infectieuses et tropicales, Hôpital d'instruction des armées Laveran, 13998 Marseille Armées.
Presse Med. 2002 Jun 22;31(22):1021-3.
Disseminated strongyloidiasis occurs in immunodepressed patients, notably those infected by retroviruses.
A pulmonary strongyloidiasis, complicated by an Escherichia coli meningitis, occurred in a patient exhibiting seropositivity HIV1 for the past year. The status of cell immunity, with 354 lymphocytes T CD4+/mm3, could not explain this severe complication. This led to the diagnosis of an HTLV1 infection. The strongyloidiasis was treated with two cycles of ivermectine, which cured the patient.
In HIV-infected patients exhibiting severe strongyloidiasis, research for an HTLV co-infection is recommended.
播散性类圆线虫病发生于免疫抑制患者，尤其是感染逆转录病毒的患者。
一名过去一年HIV-1血清学呈阳性的患者发生了肺部类圆线虫病，并并发大肠杆菌脑膜炎。细胞免疫状态为每立方毫米354个CD4+ T淋巴细胞，无法解释这一严重并发症。这导致诊断为HTLV-1感染。该类圆线虫病用两个疗程的伊维菌素治疗，治愈了患者。
对于表现出严重类圆线虫病的HIV感染患者，建议筛查是否合并HTLV感染。
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