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Strongyloidosis Hyperinfection Syndrome in an HIV-Infected Patient: A Rare Manifestation of Immune Reconstitution Inflammatory Syndrome
Joint Authors
Dubale, Nachiket
Medisetty, Mahender K.
Patel, Divya
Natrajan, Kartik
Gawali, Raviraj
Tambolkar, Ajit
Thorat, Vinay
Khirid, Vrushali
Saraf, Chinmay
Dravid, Ameet
Source
Case Reports in Infectious Diseases
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Parasitic infections such as Strongyloides stercoralis and HIV have been reported to coexist, particularly in resource-limited settings such as India.
In an immunocompromised host, S.
stercoralis can progress to strongyloidiasis hyperinfection syndrome (SHS).
However, SHS is not common in patients with advanced HIV disease.
Immune reconstitution inflammatory syndrome (IRIS) developing after initiation of antiretroviral therapy (ART) can target multiple pathogens including S.
stercoralis.
The authors present here a 46-year-old HIV-infected female who was recently diagnosed with HIV-1 infection, started ART, and developed SHS.
Her upper GI endoscopy revealed severe gastroduodenitis, and X-ray chest showed extensive bilateral pneumonitis.
We could identify S.
stercoralis in induced sputum and duodenal biopsy.
We could also identify gut inflammation to restrict invading parasites.
After receiving antihelminthic therapy, she showed improvement, a course of events that fit the diagnosis of unmasking S.
stercoralis IRIS.
American Psychological Association (APA)
Natrajan, Kartik& Medisetty, Mahender K.& Gawali, Raviraj& Tambolkar, Ajit& Patel, Divya& Thorat, Vinay…[et al.]. 2018. Strongyloidosis Hyperinfection Syndrome in an HIV-Infected Patient: A Rare Manifestation of Immune Reconstitution Inflammatory Syndrome. Case Reports in Infectious Diseases،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144627
Modern Language Association (MLA)
Natrajan, Kartik…[et al.]. Strongyloidosis Hyperinfection Syndrome in an HIV-Infected Patient: A Rare Manifestation of Immune Reconstitution Inflammatory Syndrome. Case Reports in Infectious Diseases No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1144627
American Medical Association (AMA)
Natrajan, Kartik& Medisetty, Mahender K.& Gawali, Raviraj& Tambolkar, Ajit& Patel, Divya& Thorat, Vinay…[et al.]. Strongyloidosis Hyperinfection Syndrome in an HIV-Infected Patient: A Rare Manifestation of Immune Reconstitution Inflammatory Syndrome. Case Reports in Infectious Diseases. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144627
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144627