Robert Poppiti Author

Case Report Open Access

Fatal Disseminated Strongyloidiasis Secondary to Corticosteroid Use: A Report of Two Cases

Author(s):

Kailee Imperatore, Pukhraz Basra, Nicole Herring, Yumna Omarzai, Cristina Vincentelli, Vathany Sriganeshan and Robert Poppiti

Strongyloides stercoralis is an intestinal nematode endemic to tropical and subtropical locations, such as most of Latin America, and in the United States, the Appalachian mountain region. Clinical manifestations vary greatly and are non-specific; as a result, cases in regions that do not regularly screen for strongyloides often go undiagnosed. Current research estimates a prevalence of 370 million cases worldwide. Chronically infected patients that become immunosuppressed, particularly from exposure to corticosteroids, are at risk for developing a hyperinfection syndrome or disseminated strongyloidiasis, which carries a mortality rate of up to 87%. We present two cases of fatal disseminated strongyloidiasis. The first case is that of a 66 ... view more»

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