Universidad Peruana Cayetano Heredia

Strongyloides stercoralis infection after the use of emergency corticosteroids: A case report on hyperinfection syndrome

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dc.contributor.author Vasquez-Rios, George
dc.contributor.author Pineda-Reyes, Roberto
dc.contributor.author Ruiz, Eloy F.
dc.contributor.author Terashima, Angelica
dc.contributor.author Mejía Cordero, Fernando Alonso
dc.date.accessioned 2019-12-06T20:57:50Z
dc.date.available 2019-12-06T20:57:50Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7447
dc.description.abstract Background: In clinical practice, identification of a case of severe asthma exacerbation prompts initiation of corticosteroids. However, not all that wheezes is asthma. Case presentation: A 61-year-old man from the Peruvian Amazon presented with progressive dyspnea, abdominal pain, and cough for the past week. His medical history was remarkable for asthma since childhood; he was treated with beta-agonists, ipratropium, and orally administered corticosteroids. On evaluation, he was febrile and ill-appearing. His chest examination revealed diffuse wheezing and bilateral crackles. He was diagnosed as having community-acquired pneumonia and asthma exacerbation and was started on empiric antibiotics, nebulized beta-agonists, and orally administered corticosteroids. His clinical status continued deteriorating and he became critically ill despite broad-spectrum antibiotics and antifungals. Considering the epidemiological background of our patient, bronchoalveolar and fecal samples were obtained to investigate soil-transmitted helminths. Larvae of Strongyloides stercoralis were found in both specimens. Ivermectin was initiated and corticosteroids were discontinued. He experienced remarkable improvement of clinical condition over the next weeks. The literature on this topic was reviewed. Conclusion: Cases of severe asthma exacerbation warrant careful evaluation before the initiation of corticosteroids, especially in patients at risk for parasitic infections. A high index of suspicion is critical. Alternative etiologies of respiratory decompensation should be considered in patients who fail to improve with broad-spectrum antibiotics and antifungals. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Journal of Medical Case Reports
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject adult en_US
dc.subject agricultural worker en_US
dc.subject alcohol en_US
dc.subject alcohol consumption en_US
dc.subject antibiotic therapy en_US
dc.subject arterial gas en_US
dc.subject Article en_US
dc.subject asthma en_US
dc.subject Asthma en_US
dc.subject azithromycin en_US
dc.subject biochemical analysis en_US
dc.subject brain disease en_US
dc.subject case report en_US
dc.subject Case report en_US
dc.subject ceftriaxone en_US
dc.subject clinical article en_US
dc.subject community acquired pneumonia en_US
dc.subject computer assisted tomography en_US
dc.subject corticosteroid therapy en_US
dc.subject Corticosteroids en_US
dc.subject coughing en_US
dc.subject crackle en_US
dc.subject drug substitution en_US
dc.subject drug withdrawal en_US
dc.subject dyspnea en_US
dc.subject emergency ward en_US
dc.subject essential hypertension en_US
dc.subject family history en_US
dc.subject fever en_US
dc.subject fluticasone propionate plus salmeterol en_US
dc.subject follow up en_US
dc.subject human en_US
dc.subject hyperinfection syndrome en_US
dc.subject Hyperinfection syndrome en_US
dc.subject hypoalbuminemia en_US
dc.subject hyponatremia en_US
dc.subject ipratropium bromide en_US
dc.subject ivermectin en_US
dc.subject laboratory test en_US
dc.subject lactic acid en_US
dc.subject lisinopril en_US
dc.subject liver enzyme en_US
dc.subject low drug dose en_US
dc.subject lung auscultation en_US
dc.subject lung lavage en_US
dc.subject lung lobe en_US
dc.subject male en_US
dc.subject medical history en_US
dc.subject meropenem en_US
dc.subject micafungin en_US
dc.subject middle aged en_US
dc.subject Peruvian en_US
dc.subject physical examination en_US
dc.subject positive end expiratory pressure en_US
dc.subject prednisone en_US
dc.subject priority journal en_US
dc.subject rain forest en_US
dc.subject respiratory distress en_US
dc.subject salbutamol en_US
dc.subject Strongyloides en_US
dc.subject strongyloidiasis en_US
dc.subject Strongyloidiasis en_US
dc.subject tachycardia en_US
dc.subject thorax radiography en_US
dc.subject vancomycin en_US
dc.subject wheezing en_US
dc.title Strongyloides stercoralis infection after the use of emergency corticosteroids: A case report on hyperinfection syndrome en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s13256-019-2022-y
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 1752-1947


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