Disseminated Strongyloidiasis in a Patient With Lupus Nephritis
Strongyloides stercoralis is a helminth that can parasitize humans and manifests with numerous symptoms. Immunocompetent patients have a less virulent course, whereas immunocompromised patients can have high mortality rates. Our case is a 43-year-old woman with lupus nephritis receiving prednisone w...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2023-09-01
|
| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0279 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Strongyloides stercoralis is a helminth that can parasitize humans and manifests with numerous symptoms. Immunocompetent patients have a less virulent course, whereas immunocompromised patients can have high mortality rates. Our case is a 43-year-old woman with lupus nephritis receiving prednisone who presented with vomiting, diarrhea, and worsening renal failure. Despite various treatments, she developed a partial small-bowel obstruction, renal failure, and pancytopenia. Bronchoscopy revealed Strongyloides larvae. Her infection resolved after treatment with ivermectin. High suspicion of Strongyloides in specific patient populations is critical in making a life-saving diagnosis. |
|---|---|
| ISSN: | 2767-7664 |