Goyal S B
Department of Internal Medicine, New York Medical College-Lincoln Hospital, Bronx, USA.
South Med J. 1998 Aug;91(8):768-9. doi: 10.1097/00007611-199808000-00016.
Strongyloidiasis caused by the helminth Strongyloides stercoralis is usually asymptomatic or causes mild dermatologic or gastrointestinal symptoms. In immunocompromised hosts, hyperinfection and dissemination can occur. In this case, I describe a nonimmunocompromised Southeast Asian man who had an eosinophilic pleural effusion, peripheral eosinophilia, and rhabditiform larvae of S stercoralis in the stools. There was complete resolution of the pleural effusion after thiabendazole therapy, thus suggesting strongyloidiasis as the cause of the effusion. Helminthic infections like strongyloidiasis should be considered in the differential diagnosis of an eosinophilic pleural effusion, especially in individuals from endemic areas.
由蠕虫粪类圆线虫引起的类圆线虫病通常无症状，或引起轻微的皮肤或胃肠道症状。在免疫功能低下的宿主中，可发生超感染和播散。在此病例中，我描述了一名非免疫功能低下的东南亚男性，他有嗜酸性胸腔积液、外周嗜酸性粒细胞增多，且粪便中存在粪类圆线虫的杆状蚴。噻苯达唑治疗后胸腔积液完全消退，因此提示类圆线虫病是胸腔积液的病因。在嗜酸性胸腔积液的鉴别诊断中，应考虑像类圆线虫病这样的蠕虫感染，特别是来自流行地区的个体。
