Strongyloides stercoralis infection after the use of emergen
In clinical practice, identification of a case of severe asthma exacerbation prompts initiation of corticosteroids. However, not all that wheezes is asthma.

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. After the corticosteroids were discontinued, he experienced remarkable improvement of clinical condition over the next weeks. The literature on this topic was reviewed.

Source: Journal of Medical Case Reports 2019 13:121

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Dr. r●j s●●●●r
Dr. r●j s●●●●r Internal Medicine
After a long time heard about strongloides species and curiously studied the report. Thank you.
May 15, 2019Like
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A●●●●●●●r L●●●●a General Medicine
May 24, 2019Like