Mori S, Konishi T, Matsuoka K, Deguchi M, Ohta M, Mizuno O, Ueno T, Okinaka T, Nishimura Y, Ito N, Nakano T
Department of Internal Medicine, Mie Prefectural General Medical Center, Yokkaichi.
Intern Med. 1998 Jul;37(7):606-10. doi: 10.2169/internalmedicine.37.606.
We report a nephrotic syndrome patient with eosinophilia who developed ileus, epigastralgia and malabsorption due to strongyloidiasis which became symptomatic by steroid therapy. The patient was then treated with thiabendazole and recovered. A percutaneous renal biopsy revealed minimal change nephrotic syndrome. This renal injury may be brought on by severe infection of Strongyloides stercoralis. It is important to rule out strongyloidiasis prior to corticosteroid therapy to patients from eosinophilia endemic areas.
我们报告了一名患有嗜酸性粒细胞增多症的肾病综合征患者，该患者因粪类圆线虫病出现肠梗阻、上腹部疼痛和吸收不良，经类固醇治疗后出现症状。随后患者接受噻苯达唑治疗并康复。经皮肾活检显示为微小病变型肾病综合征。这种肾损伤可能是由粪类圆线虫的严重感染引起的。对于来自嗜酸性粒细胞增多症流行地区的患者，在使用皮质类固醇治疗之前排除粪类圆线虫病很重要。
