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spelling The strongyloidiasis is an infection caused by a parasite known as Strongyloides stercoralis, this infection has a high morbidity and mortality in immunocompromised patients, with serious malnutrition and coinfection with the HIV virus. A hyper infection can be developed, given that the parasite has potential to develop an internal autoinfection. A case of pulmonary infection is present due to S. stercoralis that progressed to respiratory failure and required ventilatory and hemodynamic support in the intensive care unit, providing the standard combined treatment of ivermectin with a subsequent death of the patient. In this clinical case, some aspects are presented and discussed related to a case of hyperinfection by Strongyloides stercoralis (HSS). It has been described in patients with immunosuppression due to a transplant, malnutrition, alcoholism and with infection by the human immunodeficiency virus (HIV). Particularly, the administration of systemic corticosteroids causes the change of intestinal rabditoid larvae to invasive filariform. Thereby, in chronically infected patients, who have a drastic decrease in cellular immunity, the parasite multiplies abundantly and spreads through the lungs, liver, brain, and other organs; it is the so-called HSS syndrome, which has a high mortality rate. The possibility that its incidence may increase due to population migration and in certain regions, should alert us to the possibility of HSS, especially in immunosuppressed patients. In front of the suspicion of this parasitosis, in patients at risk should resort to complementary methods for the detection of larvae, such as coprocultivo, which would allow us to act early, prevent its spread and change the unfortunate prognosis of these patients.
Cortés Bravo , Aníbal
Saenz Morales, Óscar
González Acosta, Francisco
Bonilla González, Paola
Russi Lozano, Jorge Andrés
Rojas Durán, Angélica María
Rubio Villamizar, Ana María
Reina Revelo, Maricely Esperanza
Ojeda León, Paulina
Strongyloides stercoralis
Acute Respiratory Distress Syndrome
Hyperinfection Syndrome
Strongyloides stercoralis
Síndrome de distrés respiratorio agudo
Sín- drome de hiperinfección
32
2
Artículo de revista
Journal article
2021-07-06T00:00:00Z
2021-07-06T00:00:00Z
2021-07-06
application/pdf
Asociación Colombiana de Neumología y Cirugía de Tórax
Revista Colombiana de Neumología
0121-5426
2538-9513
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/534
10.30789/rcneumologia.v32.n2.2020.534
https://doi.org/10.30789/rcneumologia.v32.n2.2020.534
spa
https://creativecommons.org/licenses/by-nc-sa/4.0
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
52
57
https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/534/457
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Publication
institution ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str Colombia
collection Revista Colombiana de Neumología
description_eng The strongyloidiasis is an infection caused by a parasite known as Strongyloides stercoralis, this infection has a high morbidity and mortality in immunocompromised patients, with serious malnutrition and coinfection with the HIV virus. A hyper infection can be developed, given that the parasite has potential to develop an internal autoinfection. A case of pulmonary infection is present due to S. stercoralis that progressed to respiratory failure and required ventilatory and hemodynamic support in the intensive care unit, providing the standard combined treatment of ivermectin with a subsequent death of the patient. In this clinical case, some aspects are presented and discussed related to a case of hyperinfection by Strongyloides stercoralis (HSS). It has been described in patients with immunosuppression due to a transplant, malnutrition, alcoholism and with infection by the human immunodeficiency virus (HIV). Particularly, the administration of systemic corticosteroids causes the change of intestinal rabditoid larvae to invasive filariform. Thereby, in chronically infected patients, who have a drastic decrease in cellular immunity, the parasite multiplies abundantly and spreads through the lungs, liver, brain, and other organs; it is the so-called HSS syndrome, which has a high mortality rate. The possibility that its incidence may increase due to population migration and in certain regions, should alert us to the possibility of HSS, especially in immunosuppressed patients. In front of the suspicion of this parasitosis, in patients at risk should resort to complementary methods for the detection of larvae, such as coprocultivo, which would allow us to act early, prevent its spread and change the unfortunate prognosis of these patients.
author Cortés Bravo , Aníbal
Saenz Morales, Óscar
González Acosta, Francisco
Bonilla González, Paola
Russi Lozano, Jorge Andrés
Rojas Durán, Angélica María
Rubio Villamizar, Ana María
Reina Revelo, Maricely Esperanza
Ojeda León, Paulina
spellingShingle Cortés Bravo , Aníbal
Saenz Morales, Óscar
González Acosta, Francisco
Bonilla González, Paola
Russi Lozano, Jorge Andrés
Rojas Durán, Angélica María
Rubio Villamizar, Ana María
Reina Revelo, Maricely Esperanza
Ojeda León, Paulina
Strongyloides stercoralis
Acute Respiratory Distress Syndrome
Hyperinfection Syndrome
Strongyloides stercoralis
Síndrome de distrés respiratorio agudo
Sín- drome de hiperinfección
author_facet Cortés Bravo , Aníbal
Saenz Morales, Óscar
González Acosta, Francisco
Bonilla González, Paola
Russi Lozano, Jorge Andrés
Rojas Durán, Angélica María
Rubio Villamizar, Ana María
Reina Revelo, Maricely Esperanza
Ojeda León, Paulina
topic Strongyloides stercoralis
Acute Respiratory Distress Syndrome
Hyperinfection Syndrome
Strongyloides stercoralis
Síndrome de distrés respiratorio agudo
Sín- drome de hiperinfección
topic_facet Strongyloides stercoralis
Acute Respiratory Distress Syndrome
Hyperinfection Syndrome
Strongyloides stercoralis
Síndrome de distrés respiratorio agudo
Sín- drome de hiperinfección
topicspa_str_mv Strongyloides stercoralis
Síndrome de distrés respiratorio agudo
Sín- drome de hiperinfección
citationvolume 32
citationissue 2
publisher Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal Revista Colombiana de Neumología
source https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/534
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rights https://creativecommons.org/licenses/by-nc-sa/4.0
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
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url https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/534
url_doi https://doi.org/10.30789/rcneumologia.v32.n2.2020.534
issn 0121-5426
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doi 10.30789/rcneumologia.v32.n2.2020.534
citationstartpage 52
citationendpage 57
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