Twenty-five Years of Chronic Strongyloidiasis in an Immigrant

Chronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmo...

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Autores principales:	Junior D Kalambay, Rehana Zaman, Mohammed H Zaman, Taufiq Zaman
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2017
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f3ff29d7ce4f460d91a3b162013a4b56
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spelling	oai:doaj.org-article:f3ff29d7ce4f460d91a3b162013a4b562021-11-12T12:33:19ZTwenty-five Years of Chronic Strongyloidiasis in an Immigrant1179-547610.1177/1179547616684828https://doaj.org/article/f3ff29d7ce4f460d91a3b162013a4b562017-02-01T00:00:00Zhttps://doi.org/10.1177/1179547616684828https://doaj.org/toc/1179-5476Chronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmonary disease (COPD), or inflammatory bowel disease (IBD) as in this case report. The inconsistency of eosinophilia and the low sensitivity of microscopic stool examination make chronic strongyloidiasis a disease that is frequently misdiagnosed in the United States. The use of corticosteroids in these misdiagnosed cases transforms chronic strongyloidiasis into disseminated strongyloidiasis or hyperacute syndrome, which leads to high mortality. Iatrogenic errors represent the essential cause of mortality due to chronic strongyloidiasis in the United States. We recommend a high index of suspicion of chronic strongyloidiasis when a physician approaches an immigrant presenting with symptoms mimicking asthma, COPD, and IBD with subcutaneous masses.Junior D KalambayRehana ZamanMohammed H ZamanTaufiq ZamanSAGE PublishingarticleMedicine (General)R5-920ENClinical Medicine Insights: Case Reports, Vol 10 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
description	Chronic strongyloidiasis is an infection of the tropical regions, caused by the nematode Strongyloides stercoralis . In the United States, patients are typically immigrants. The very long asymptomatic phase followed by the clinical presentation of the disease mimics asthma, chronic obstructive pulmonary disease (COPD), or inflammatory bowel disease (IBD) as in this case report. The inconsistency of eosinophilia and the low sensitivity of microscopic stool examination make chronic strongyloidiasis a disease that is frequently misdiagnosed in the United States. The use of corticosteroids in these misdiagnosed cases transforms chronic strongyloidiasis into disseminated strongyloidiasis or hyperacute syndrome, which leads to high mortality. Iatrogenic errors represent the essential cause of mortality due to chronic strongyloidiasis in the United States. We recommend a high index of suspicion of chronic strongyloidiasis when a physician approaches an immigrant presenting with symptoms mimicking asthma, COPD, and IBD with subcutaneous masses.
format	article
author	Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman
author_facet	Junior D Kalambay Rehana Zaman Mohammed H Zaman Taufiq Zaman
author_sort	Junior D Kalambay
title	Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
title_short	Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
title_full	Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
title_fullStr	Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
title_full_unstemmed	Twenty-five Years of Chronic Strongyloidiasis in an Immigrant
title_sort	twenty-five years of chronic strongyloidiasis in an immigrant
publisher	SAGE Publishing
publishDate	2017
url	https://doaj.org/article/f3ff29d7ce4f460d91a3b162013a4b56
work_keys_str_mv	AT juniordkalambay twentyfiveyearsofchronicstrongyloidiasisinanimmigrant AT rehanazaman twentyfiveyearsofchronicstrongyloidiasisinanimmigrant AT mohammedhzaman twentyfiveyearsofchronicstrongyloidiasisinanimmigrant AT taufiqzaman twentyfiveyearsofchronicstrongyloidiasisinanimmigrant
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Twenty-five Years of Chronic Strongyloidiasis in an Immigrant

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