Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient
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Hospital Universitário da Universidade de São Paulo
2012
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| _version_ | 1876459055938011136 |
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| author | Rodrigo Martins Brandão |
| author_facet | Rodrigo Martins Brandão |
| contents | Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient Rodrigo Martins Brandão Renata Paula Martins Brandão Amanda Cristina Maria Aparecida Gonçalves Lorena Silva Laborda Patricia Picciarelli de Lima Fernando Peixoto Ferraz de Campos Medicina Autopsy Schistosoma mansoni Strongyloides stercoralis Respiratory insufficiency Acquired immunodeficiency syndrome Strongyloides stercoralis hyperinfection syndrome is classically associated with impaired host response and implies in an overburden of larvae in its usual cycle. It has been recognized as a severe and potentially fatal condition in immunocompromised individuals, especially those using oral corticosteroids. Infection with Schistosoma mansoni not only increases the susceptibility to HIV infection, but also promotes progression to disease. The association of the most severe forms of strongyloidiasis and AIDS is scarcely described, even more when S. mansoni is also associated. The authors describe a case of a 34-year-old previously healthy male, admitted to the emergency department with a history of hematemesis associated with dyspnea, hemoptysis, and fever. He referred homosexual relations for 6 years. Physical examination showed an ill-looking patient, and was remarkable for tachycardia, tachypnea, diaphoresis, and pulse oximetry of 70% in room air. Lungs examination revealed the presence of rales in the left base. Chest radiography showed a diffuse and bilateral reticulo-nodular pattern. HIV serology was positive. Empirical antimicrobial therapy and corticosteroids were initiated. On the third day of hospitalization, petechiae appeared over the periumbilical area, but no further investigation was undertaken because the patient died soon after. The autopsy findings were compatible with S. stercoralis disseminated infection, a hepatic intestinal chronic form of schistosomiasis, and septic shock as the primary cause of death. The authors call attention to this infrequent association. 2012 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060816005 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.4 Vol.2 |
| format | Artículo científico |
| id | redalyc_576060816005 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Hospital Universitário da Universidade de São Paulo |
| spellingShingle | Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient Rodrigo Martins Brandão Medicina Autopsy Schistosoma mansoni Strongyloides stercoralis Respiratory insufficiency Acquired immunodeficiency syndrome Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient Rodrigo Martins Brandão Renata Paula Martins Brandão Amanda Cristina Maria Aparecida Gonçalves Lorena Silva Laborda Patricia Picciarelli de Lima Fernando Peixoto Ferraz de Campos Medicina Autopsy Schistosoma mansoni Strongyloides stercoralis Respiratory insufficiency Acquired immunodeficiency syndrome Strongyloides stercoralis hyperinfection syndrome is classically associated with impaired host response and implies in an overburden of larvae in its usual cycle. It has been recognized as a severe and potentially fatal condition in immunocompromised individuals, especially those using oral corticosteroids. Infection with Schistosoma mansoni not only increases the susceptibility to HIV infection, but also promotes progression to disease. The association of the most severe forms of strongyloidiasis and AIDS is scarcely described, even more when S. mansoni is also associated. The authors describe a case of a 34-year-old previously healthy male, admitted to the emergency department with a history of hematemesis associated with dyspnea, hemoptysis, and fever. He referred homosexual relations for 6 years. Physical examination showed an ill-looking patient, and was remarkable for tachycardia, tachypnea, diaphoresis, and pulse oximetry of 70% in room air. Lungs examination revealed the presence of rales in the left base. Chest radiography showed a diffuse and bilateral reticulo-nodular pattern. HIV serology was positive. Empirical antimicrobial therapy and corticosteroids were initiated. On the third day of hospitalization, petechiae appeared over the periumbilical area, but no further investigation was undertaken because the patient died soon after. The autopsy findings were compatible with S. stercoralis disseminated infection, a hepatic intestinal chronic form of schistosomiasis, and septic shock as the primary cause of death. The authors call attention to this infrequent association. 2012 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060816005 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.4 Vol.2 |
| title | Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient |
| topic | Medicina Autopsy Schistosoma mansoni Strongyloides stercoralis Respiratory insufficiency Acquired immunodeficiency syndrome |
| url | https://www.redalyc.org/articulo.oa?id=576060816005 |