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Strongyloides stercoralis infestation associated with septicemia due to intestinal transmural migration of bacteria
Author(s) -
GHOSHAL UDAY C,
GHOSHAL UJJALA,
JAIN MANOJ,
KUMAR ARVIND,
AGGARWAL RAKESH,
MISRA ASHA,
AYYAGARI ARCHANA,
NAIK SUBHASH R
Publication year - 2002
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.2002.02750.x
Subject(s) - strongyloides stercoralis , fulminant , medicine , asymptomatic , infestation , gastroenterology , sepsis , antibiotics , microbiology and biotechnology , immunology , biology , helminths , botany
Strongyloides stercoralisinfestation is common in the tropics and is usually asymptomatic. Patients with immunocompromised states may develop hyperinfection and fulminant disease. It has been suggested that bacteria accompanyS. stercoralisduring its passage across the bowel wall, resulting in systemic sepsis. Herein is a report on a 30‐year‐old man withS. stercoralisinfestation and small bowel bacterial overgrowth presenting as malabsorption syndrome. He developed extensive duodenojejunal ulceration, septicemia and fatal hypokalemia. Blood and jejunal fluid grewEscherichia coliwith the same antibiotic sensitivity patterns. This supports the hypothesis of migration of bacteria from the intestinal lumen as a cause of septicemia in patients with fulminantS. stercoralisinfestation. © 2002 Blackwell Publishing Asia Pty Ltd