論文 - 仲本　朋子

Acute respiratory distress syndrome due to Strongyloides stercoralis infection in a patient with cervical cancer.

Kinjo T, Nabeya D, Nakamura H, Haranaga S, Hirata T, Nakamoto T, Atsumi E, Fuchigami T, Aoki Y, Fujita J

Internal medicine (Tokyo, Japan) ( 一般社団法人 日本内科学会 )  54 ( 1 ) 83 - 7   2015年 [ 査読有り ]

掲載種別: 研究論文（学術雑誌）

　概要を見る

A 62-year-old woman complained of diarrhea and vomiting after receiving chemotherapy for cervical cancer in association with high doses of corticosteroids. Two months later, the patient developed acute respiratory distress syndrome, and numerous <i>Strongyloides stercoralis</i> parasites were found in the intrabronchial discharge. Ivermectin was administered daily until nematodes were no longer detected in the sputum, and the patient's condition was successfully rescued. Antibodies for human T-cell lymphotropic virus-1 (HTLV-1) were positive. HTLV-1 infection and the administration of corticosteroids are known risk factors for strongyloides hyperinfection syndrome. Therefore, physicians should consider this disease in the differential diagnosis of patients from endemic areas who present with gastrointestinal symptoms under these risk factors.<br>

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