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...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-09-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0279 |
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| author | Muhammad Abu-Rmaileh Melanie Holtrop Andrea Amaro Niraj Madhani Roma Mehta James Lyons |
| author_facet | Muhammad Abu-Rmaileh Melanie Holtrop Andrea Amaro Niraj Madhani Roma Mehta James Lyons |
| author_sort | Muhammad Abu-Rmaileh |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3dd3343d534a400b8f607ff571cf82dc |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-3dd3343d534a400b8f607ff571cf82dc2025-08-20T02:17:33ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-09-012910.7326/aimcc.2023.0279Disseminated Strongyloidiasis in a Patient With Lupus NephritisMuhammad Abu-Rmaileh0Melanie Holtrop1Andrea Amaro2Niraj Madhani3Roma Mehta4James Lyons51Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas2Division of Pulmonary and Critical Care Medicine, UT Southwestern Medical Center, Dallas, Texas1Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas3Division of Hospital Medicine, University of California San Diego, San Diego, California2Division of Pulmonary and Critical Care Medicine, UT Southwestern Medical Center, Dallas, Texas1Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TexasStrongyloides 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.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0279 |
| spellingShingle | Muhammad Abu-Rmaileh Melanie Holtrop Andrea Amaro Niraj Madhani Roma Mehta James Lyons Disseminated Strongyloidiasis in a Patient With Lupus Nephritis Annals of Internal Medicine: Clinical Cases |
| title | Disseminated Strongyloidiasis in a Patient With Lupus Nephritis |
| title_full | Disseminated Strongyloidiasis in a Patient With Lupus Nephritis |
| title_fullStr | Disseminated Strongyloidiasis in a Patient With Lupus Nephritis |
| title_full_unstemmed | Disseminated Strongyloidiasis in a Patient With Lupus Nephritis |
| title_short | Disseminated Strongyloidiasis in a Patient With Lupus Nephritis |
| title_sort | disseminated strongyloidiasis in a patient with lupus nephritis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0279 |
| work_keys_str_mv | AT muhammadaburmaileh disseminatedstrongyloidiasisinapatientwithlupusnephritis AT melanieholtrop disseminatedstrongyloidiasisinapatientwithlupusnephritis AT andreaamaro disseminatedstrongyloidiasisinapatientwithlupusnephritis AT nirajmadhani disseminatedstrongyloidiasisinapatientwithlupusnephritis AT romamehta disseminatedstrongyloidiasisinapatientwithlupusnephritis AT jameslyons disseminatedstrongyloidiasisinapatientwithlupusnephritis |