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Brazilian Journal of Infectious Diseases
Print version ISSN 1413-8670
YASSIN, Mohamed A et al. Fatal Strongyloides stercoralis hyper-infection in a patient with multiple myeloma. Braz J Infect Dis [online]. 2010, vol.14, n.5, pp. 536-539. ISSN 1413-8670. http://dx.doi.org/10.1590/S1413-86702010000500019.
Strongyloides stercoralis (S.S.) is a human intestinal parasite, which may lead to complicated strongyloidiasis. We report a case of disseminated strongyloidiasis following the treatment of myeloma. The patient developed skin lesions, respiratory distress, aseptic meningitis and bacterial and fungal sepsis. The diagnosis of strongyloidiasis was established through endotracheal tube secretions. Despite the treatment with Ivermectin and Albendazole, the outcome was fatal. The value of screening for strongyloidiasis is unclear but may be of benefit in patients with hematological malignancies from high endemic areas
Keywords : acute respiratory failure; disseminated strongyloidiasis; myeloma; steroids.