Department of Pediatrics, Kasturba Medical College, Manipal, India.
Indian Pediatr. 2011 Dec;48(12):974-6.
Strongyloidiasis in an immunocompromised patient has the potential to be life threatening. We describe a boy who was on steroids for acute demyelinating myelitis and receiving antibiotics for E. coli UTI and meningitis. He developed anasarca, malabsorption, malnutrition and left ventricular failure. Duodenal biopsy revealed abundant rhabditiform larvae of Strongyloides stercoralis. The diagnosis went unsuspected and proved fatal. This emphasizes the need to have a high index of suspicion and early intervention for S. stercoralis in immunosuppressed persons who present with refractory gastrointestinal symptoms.
免疫功能低下患者的类圆线虫病具有威胁生命的潜力。我们描述了一名患有急性脱髓鞘性脊髓炎并接受类固醇治疗、大肠杆菌尿路感染和脑膜炎抗生素治疗的男孩。他出现全身水肿、吸收不良、营养不良和左心衰竭。十二指肠活检显示有丰富的粪类圆线虫杆状幼虫。该诊断未被怀疑且被证明是致命的。这强调了对于出现难治性胃肠道症状的免疫抑制患者，需要高度怀疑并早期干预粪类圆线虫。
