Fatal strongyloidiasis after corticosteroid therapy for presumed chronic obstructive pulmonary disease.

ABSTRACT:

Introduction

Strongyloidiasis is a neglected tropical disease with global prevalence. Under some cases of immune suppression (especially with corticosteroid administration), the nematode involved disseminates, leading to an amplified, possibly lethal hyper-infection syndrome.

Case presentation

A 56-year-old Nepalese man presenting with chief complaints of nausea, vomiting, joint pain and abdominal cramps was admitted to Sumeru Hospital. His past history revealed: chronic obstructive pulmonary disease (COPD), systemic hypertension and previously treated pulmonary tuberculosis. The patient had been treated with oral prednisolone (60 mg gl^-1) for 8 days due to a presumed exacerbation of his COPD. Sequentially, he developed haemoptysis, chest tightness, frequent wheez

SUBMITTER: Khadka P 

PROVIDER: S-EPMC6230759 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature