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Case Report
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| Strongyloidiasis after corticosteroid therapy: A case report | ||||||
| Jangala Mohan Sidhartha1, Barabari Man Mohan2, Maddinani Penchalaiah3, Lomati Venkata Pavan Kumar Reddy4 | ||||||
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1Assistant Professor, Department of Medicine, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh, India.
2Assistant Professor, Department of Microbiology, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh, India. 3Tutor, Department of Radiology, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh, India. 4Department of Pharm-D, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh, India. | ||||||
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| How to cite this article |
| Sidhartha JM, Mohan BM, Penchalaiah M, Reddy LVPK. Strongyloidiasis after corticosteroid therapy: A case report. Int J Case Rep Images 2015;6(1):21–24. |
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Abstract
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Introduction:
Strongyloidiasis is a parasitic infection which can be divided into asymptomatic carriage, intestinal disease, hyperinfection with or without dissemination and it is also capable of a free living cycle. It is caused by Strongyloides stercoralis in humans. Generally in a healthy host, it is an asymptomatic infection but it causes hyper infection involving multiple organs in immunocompromised patients.
Case Report: We report an intestinal strongyloidiasis hyper- infection in a chronic obstructive pulmonary disease (COPD) patient of 66 years old. The patient had a history of receiving corticosteroid therapy frequently for acute exacerbations of COPD symptoms, during one of such episode the patient presented to our center, after receiving corticosteroid therapy the patient recovered from the episode but developed diarrhea, investigations done for diarrhea evaluation revealed larvae of Strongyloides in stool sample. Anthelmintic therapy, albendazole for three days followed by ivermectin for five days were given, the frequency of stools decreased to a great extent even though not completely cured. Conclusion: Strongyloidiasis a helminthic infection common in southeast asia and other sub Saharan countries, the longevity of this infection is for decades due to autoinfection so, regular screening for this parasite in Immunocompromised patients should be done. | |
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Keywords:
Asymptomatic infection, Immunodeficiency, Nematodes, Strongyloidiasis
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Author Contributions
Jangala Mohan Sidhartha – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Barabari Man Mohan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Maddinani Penchalaiah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Lomati Venkata Pavan Kumar Reddy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Jangala Mohan Sidhartha et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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