Open AccessA 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia
Author(s) -
Deepti Mutreja,
Sivasami Kartik,
Vishal Vishnu Tewari,
Bhaskar Nandi,
Geeta Nair,
Sunita D Patil
Publication year - 2015
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/0377-4929.168871
Subject(s) - medicine , hyponatremia , strongyloides stercoralis , vomiting , syndrome of inappropriate antidiuretic hormone secretion , hypoglycemia , abdominal pain , hypokalemia , sepsis , pediatrics , surgery , antidiuretic , hormone , immunology , insulin , helminths
Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key to a timely diagnosis is to have a high index of suspicion. We present a rare case of a 36-year-old human immunodeficiency virus negative male patient, who was on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra reactions with steroids in the past. The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had features of malnutrition and had a rapid downhill course following admission. A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure, adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone secretion was established on a postmortem examination.