Recurrent Strongyloides stercoralis infection in an HIV+ patient

Although infection with Strongyloides stercoralis is often subclinical, some infections persist for decades due to the parasite’s autoinfective lifecycle. Hyperinfection syndrome, however, characterized by a massive increase in parasite burden as a result of host immunosuppression causes a myriad of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kelli Bagwell, Jaya Vasudevan, Kristin Mondy
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	HIV AIDS Recurrent Strongyloides stercoralis hyperinfection Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/c5b85c9114984ffa95bbf42536f12b39
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c5b85c9114984ffa95bbf42536f12b39
record_format	dspace
spelling	oai:doaj.org-article:c5b85c9114984ffa95bbf42536f12b392021-11-04T04:31:08ZRecurrent Strongyloides stercoralis infection in an HIV+ patient2214-250910.1016/j.idcr.2021.e01325https://doaj.org/article/c5b85c9114984ffa95bbf42536f12b392021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221425092100281Xhttps://doaj.org/toc/2214-2509Although infection with Strongyloides stercoralis is often subclinical, some infections persist for decades due to the parasite’s autoinfective lifecycle. Hyperinfection syndrome, however, characterized by a massive increase in parasite burden as a result of host immunosuppression causes a myriad of clinical symptoms and is associated with high mortality. Use of corticosteroids and infection with HTLV-1 virus are the biggest traditional risk factors for hyperinfection syndrome, though its development can occur with virtually any degree of immunosuppression. Recurrent hyperinfection syndrome, though rare, has also been demonstrated in persons with ongoing immunosuppression, prompting many experts to recommend continued prophylactic treatment in at risk populations. We present the case of a recurrent S. stercoralis hyperinfection occurring four years after previous treatment with anti-helminthic therapy in a patient with AIDS with intermittent adherence to antiretroviral therapy (ART), highlighting diagnostic and treatment issues in the management of recurrent S. stercoralis infection.Kelli BagwellJaya VasudevanKristin MondyElsevierarticleHIVAIDSRecurrent Strongyloides stercoralis hyperinfectionInfectious and parasitic diseasesRC109-216ENIDCases, Vol 26, Iss , Pp e01325- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV AIDS Recurrent Strongyloides stercoralis hyperinfection Infectious and parasitic diseases RC109-216
spellingShingle	HIV AIDS Recurrent Strongyloides stercoralis hyperinfection Infectious and parasitic diseases RC109-216 Kelli Bagwell Jaya Vasudevan Kristin Mondy Recurrent Strongyloides stercoralis infection in an HIV+ patient
description	Although infection with Strongyloides stercoralis is often subclinical, some infections persist for decades due to the parasite’s autoinfective lifecycle. Hyperinfection syndrome, however, characterized by a massive increase in parasite burden as a result of host immunosuppression causes a myriad of clinical symptoms and is associated with high mortality. Use of corticosteroids and infection with HTLV-1 virus are the biggest traditional risk factors for hyperinfection syndrome, though its development can occur with virtually any degree of immunosuppression. Recurrent hyperinfection syndrome, though rare, has also been demonstrated in persons with ongoing immunosuppression, prompting many experts to recommend continued prophylactic treatment in at risk populations. We present the case of a recurrent S. stercoralis hyperinfection occurring four years after previous treatment with anti-helminthic therapy in a patient with AIDS with intermittent adherence to antiretroviral therapy (ART), highlighting diagnostic and treatment issues in the management of recurrent S. stercoralis infection.
format	article
author	Kelli Bagwell Jaya Vasudevan Kristin Mondy
author_facet	Kelli Bagwell Jaya Vasudevan Kristin Mondy
author_sort	Kelli Bagwell
title	Recurrent Strongyloides stercoralis infection in an HIV+ patient
title_short	Recurrent Strongyloides stercoralis infection in an HIV+ patient
title_full	Recurrent Strongyloides stercoralis infection in an HIV+ patient
title_fullStr	Recurrent Strongyloides stercoralis infection in an HIV+ patient
title_full_unstemmed	Recurrent Strongyloides stercoralis infection in an HIV+ patient
title_sort	recurrent strongyloides stercoralis infection in an hiv+ patient
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c5b85c9114984ffa95bbf42536f12b39
work_keys_str_mv	AT kellibagwell recurrentstrongyloidesstercoralisinfectioninanhivpatient AT jayavasudevan recurrentstrongyloidesstercoralisinfectioninanhivpatient AT kristinmondy recurrentstrongyloidesstercoralisinfectioninanhivpatient
_version_	1718445300161445888

Recurrent Strongyloides stercoralis infection in an HIV+ patient

Ejemplares similares