Maayan S, Wormser G P, Widerhorn J, Sy E R, Kim Y H, Ernst J A
Department of Medicine, Bronx Lebanon Hospital, New York.
Am J Med. 1987 Nov;83(5):945-8. doi: 10.1016/0002-9343(87)90656-5.
Severe infections with Strongyloides stercoralis occur in immunocompromised patients. Strongyloides hyperinfection syndrome complicated by gram-negative bacteremia and meningitis in a bisexual man with the acquired immune deficiency syndrome (AIDS) is described. Increased awareness of this infection, which may also be sexually transmitted, is recommended when caring for patients with AIDS who are homosexual, or have resided in areas endemic for strongyloidiasis. Multiple stool examinations should be performed routinely for such patients. Examination of sputum for the parasite is recommended if pneumonia is present. Prompt diagnosis and therapy are essential for prevention of fatal dissemination.
粪类圆线虫严重感染见于免疫功能低下患者。本文描述了一名患获得性免疫缺陷综合征（艾滋病）的双性恋男性发生的粪类圆线虫超感染综合征，并伴有革兰氏阴性菌血症和脑膜炎。在照料同性恋或曾居住于粪类圆线虫病流行地区的艾滋病患者时，建议提高对这种也可能通过性传播的感染的认识。对此类患者应常规进行多次粪便检查。如果存在肺炎，建议检查痰液以查找寄生虫。及时诊断和治疗对于预防致命性播散至关重要。
