Pulmonary Strongyloidiasis in a Patient Receiving Prednisolone Therapy

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概要

• 論文の詳細を見る

• Strongyloidiasis is widely distributed in tropical and subtropical areas. Disseminated strongyloidiasis may develop in patients with immunodeficiencies. In the absence of early diagnosis and treatment, the prognosis of disseminated strongyloidiasis is extremely poor. We report a case of pulmonary strongyloidiasis that was successfully treated. The patient was an 83-year-old woman who had been receiving long-term oral prednisolone therapy for uveitis. The patient visited our emergency department complaining of breathing difficulties and diarrhea. A chest X-ray revealed a diffuse enhancement of interstitial shadows. A bronchoalveolar lavage (BAL) was performed, and both Gram staining and Grocott’s staining revealed the presence of multiple filariform larvae of Strongyloides stercoralis in the bronchoalveolar lavage fluid (BALF). A stool examination performed at the same time also yielded S. stercoralis. The patient was diagnosed as having pulmonary strongyloidiasis and was treated with thiabendazole and ivermectin, in addition to antimicrobial agents; her respiratory symptoms and diarrhea improved, and S. stercoralis was not detected in subsequent follow-up examinations thereafter. In endemic areas of S. stercoralis, pulmonary strongyloidiasis should be considered as part of a differential diagnosis if chest imaging findings like alveolar and interstitial shadow patterns or lobar pneumonia are seen in patients with immunodeficiencies.

• 社団法人　日本内科学会の論文
• 2004-08-01

著者

• HIRATA Tetsuo

  First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus

• SAITO Atsushi

  First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus

• Higa Futoshi

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases First Departme

• Hirata Tetsuo

  First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Higa Futoshi

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases (first Departm

• HIGA Futoshi

  First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus

• NAMISATO Shun

  First Department of Internal Medicine, Faculty of Medicine University of the Ryukyus

• MOTOMURA Kazuhisa

  Miyako Hospital

• HARANAGA Shusaku

  First Department of Internal Medicine, Faculty of Medicine University of the Ryukyus

• TOYAMA Masato

  First Department of Internal Medicine, Faculty of Medicine University of the Ryukyus

• SHINZATO Takashi

  First Department of Internal Medicine, Faculty of Medicine University of the Ryukyus

• Tateyama Masao

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases Faculty Of Med

• Shinzato Takashi

  First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Saito Atsushi

  First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Higa Futoshi

  First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Higa Futoshi

  The First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Namisato Shun

  First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Tateyama Masao

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases First Departme

• Tateyama Masao

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases First Departme

• Tateyama Masao

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases First Departme

• Haranaga Shusaku

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases (first Departm

• Shinzato Takashi

  The First Department Of Internal Medicine Faculty Of Medicine University Of The Ryukyus

• Shinzato Takashi

  Division Of Internal Medicine Department Of Infectious Diseases Control Graduate School And Faculty

• Saito Atsushi

  First Department Of Internal Medicine Faculty Of Medicine University Of Ryukyu

• SAITO Atsushi

  First Department of Internal Medicine, Faculty of Medicine University of the Ryukyus

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