Lozada Heiler, Daza Jorge E
Facultad de Salud, Universidad Santiago de Cali, Colombia.
Rev Chilena Infectol. 2016 Oct;33(5):584-588. doi: 10.4067/S0716-10182016000500016.
Strongyloidiasis is an infection caused by the parasite Strongyloides stercoralis, which can be asymptomatic and means a high morbidity and mortality in immunocompromised hosts, severe malnutrition and coinfection with HTLV-1 virus. The parasite has the potential to produce and multiply internal autoinfection in humans, thus an hyperinfection can be developed. A case of pulmonary infection by this parasite is presented in this study, infection which advanced into a respiratory failure and required mechanical ventilation and hemodynamic support in an intensive care unit. The standard treatment combined with ivermectin and albendazole was provided, achieving an appropriate response.
类圆线虫病是由寄生虫粪类圆线虫引起的一种感染,它可能无症状,但在免疫功能低下的宿主、严重营养不良以及与人类嗜T淋巴细胞病毒1型(HTLV-1)病毒合并感染的情况下,意味着高发病率和死亡率。该寄生虫有在人体内产生并繁殖自身感染的潜力,因此可能会发展为超感染。本研究报告了一例由这种寄生虫引起的肺部感染病例,该感染进展为呼吸衰竭,在重症监护病房需要机械通气和血流动力学支持。给予了伊维菌素和阿苯达唑联合的标准治疗,取得了适当的疗效。