Veloso Moema Gonçalves Pinheiro, Porto Anita Sperandio, Moraes Mário
Núcleo de Citopatologia e Anatomia Patológica, Hospital de Base do Distrito Federal, Brasília, DF.
Rev Soc Bras Med Trop. 2008 Jul-Aug;41(4):413-5. doi: 10.1590/s0037-86822008000400018.
Asymptomatic infection due to Strongyloides stercoralis may result in potentially fatal disease in immunodepressed patients. A case of Strongyloides stercoralis hyperinfection discovered at autopsy in a 55-year-old man who had been undergoing treatment for multiple myeloma is reported, emphasizing the clinical and pathological findings. One day earlier, he presented severe headache, abdominal pain and oliguria, from which he developed acute respiratory failure and septic shock. Because of difficulty in reaching this diagnosis, empirical treatment before starting immunosuppressive therapy may be the best strategy for preventing hyperinfection by this worm.
粪类圆线虫引起的无症状感染可能会在免疫抑制患者中导致潜在的致命疾病。本文报告了一例在尸检时发现的粪类圆线虫高度感染病例,患者为一名55岁正在接受多发性骨髓瘤治疗的男性,着重介绍了临床和病理检查结果。一天前,他出现严重头痛、腹痛和少尿,随后发展为急性呼吸衰竭和感染性休克。由于难以做出此诊断,在开始免疫抑制治疗前进行经验性治疗可能是预防这种蠕虫高度感染的最佳策略。