Fatal outcome of a hyperinfection syndrome despite successful eradication of Strongyloides with subcutaneous ivermectin

被引:38
|
作者
Haubner, HP
Galle, J
Chiodini, PL
Rupp, J
Birke, R
Vollmer, E
Zabel, P
Lange, C
机构
[1] Res Ctr Borstel, Med Clin, D-23845 Borstel, Germany
[2] Hosp Trop Dis, London NW1 0PE, England
[3] London Sch Hyg & Trop Med, London WC1, England
[4] Univ Hosp Lubeck, Dept Microbiol, Lubeck, Germany
关键词
D O I
10.1007/s15010-005-5060-x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report the case of a 77-year-old man who developed a Strongyloides hyperinfection syndrome following immunosuppressive therapy more than 60 years after he moved away from an area endemic for Strongyloides stercoralis. Successful eradication of the nematode was achieved with an off label subcutaneous formulation of ivermectin. However, the patient subsequently died from acute respiratory distress syndrome (ARDS). Despite a high wormload in the stool and sputum of the patient and delayed infection control measures in the hospital, testing of the medical staff revealed a very Low risk of Strongyloides transmission among healthcare workers.
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页码:383 / 386
页数:4
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