PMID: 6967302Aug 1, 1980Paper

Strongyloidiasis in immunosuppressed hosts. Presentation as massive lower gastrointestinal bleeding

Archives of Internal Medicine
R W PowellS H Cheng

Abstract

Two cases of massive lower gastrointestinal hemorrhage in immunosuppressed patients were due to complicated infestation with Strongyloides stercoralis. The very high mortality of disseminated strongyloidiasis may in part be attributed to delays in diagnosis and treatment resulting from the complex life cycle of this nematode. Successful therapy in the cases presented consisted of reduction of corticosteroid dosage, use of thiabendazole in excess of that recommended for uncomplicated infestation, parenterally administered nutrition, multiple transfusion of blood products, and vigorous supportive management. Emphasis is given to proper categorization of patients and measures designed to prevent, detect, and treat hyperinfection in patients in whom immunosuppression is anticipated.

Citations

Jan 1, 1982·Gastrointestinal Radiology·M E WillifordW M Thompson
Apr 29, 2004·Gastrointestinal Endoscopy·Seo-Kiat GohPuay-Hoon Tan
Jun 3, 2004·Gastrointestinal Endoscopy·Bryan F ThompsonKlaus E Mönkemüller
Nov 13, 2008·Annals of Tropical Medicine and Parasitology·S MattioniE Caumes
Mar 11, 2008·Gastrointestinal Endoscopy·Srividya SridharaVishal Aggarwal
Mar 15, 2006·The Journal of Infection·Laurence FardetJean Cabane
Aug 1, 1995·Gastrointestinal Endoscopy·U ChoudhryN Gopalswamy
Aug 1, 1997·Pathology·P L HoK Y Yuen
Jan 23, 1999·Journal of Clinical Gastroenterology·M Al SammanJ D Long

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