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Fatal Strongyloides hyperinfection syndrome in an immunocompetent adult with review of the literature
Author(s) -
Chan Fiona L. Y.,
Kennedy Brendan,
Nelson Renjy
Publication year - 2018
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13940
Subject(s) - medicine , strongyloides , strongyloides stercoralis , pediatrics , strongyloidiasis , intensive care medicine , immunology , helminths
Strongyloides hyperinfection syndrome is rarely described in immunocompetent individuals. We present a case of fatal Strongyloides hyperinfection syndrome, and a literature review identifying nine other cases occurring in immunocompetent individuals, highlighting the challenges of diagnosis and treatment in this setting. While overall mortality is lower compared to immunocompromised patients, fatal outcomes still occur. A high index of suspicion is required for early diagnosis and treatment.