Submitted: 09 Feb 2017
Accepted: 04 Apr 2017
ePublished: 16 Apr 2017
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)

J Prev Epidemiol. 2017;2(2): e08.
  Abstract View: 599
  PDF Download: 402

Case Report

Lethal Strongyloides Stercoralis hyperinfection in a young female with lupus nephritis; a rare case report 

Zain Majid 1 * , Syed Ahmad 1, Mehreen Malik Iqbal 1, Muhammed Mubarak 2

1 Department of Internal Medicine, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
2 Department of Histopathology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
Correspondence to: Zain Majid Zain88@Hotmail.com

Abstract

A young female, known case of lupus nephritis class III, on immunosuppressive drugs, presenting with continuous fever, diarrhea, cough, shortness of breath and hemoptysis. Physical examination revealed a non-healing ulcer on her right ankle with crepitation and wheezes heard bilaterally in her chest. Chest x-ray had bilateral infiltrates suggestive of interstitial lung disease while echocardiography, computerized tomography (CT) scan chest, bronchoalveolar lavage (BAL) and all cultures were negative. Antibiotics were started empirically but her condition did not improve. Later on, a palpable lymph node in the left axillary region was biopsied. In the meantime, the patient’s condition had deteriorated and she died before the results of biopsy could be obtained. The lymph node biopsy revealed Strongyloides stercoralis-associated lymphadenitis. Thus, the biopsy resolved the complex clinical presentation of this patient with disseminated S. stercoralis infection. 
Keywords: Strongyloides stercoralis, Lymph node biopsy, Lupus nephritis, Immunosuppressive therapy
Citation: Majid Z, Ahmad S, Iqbal MM, Mubarak MM. Lethal Strongyloides stercoralis hyperinfection in a young female with lupus nephritis; a rare case report.  J Prev Epidemiol. 2017;2(2):e02. DOI: 10.15171/jpe.2017.02.
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 599

Your browser does not support the canvas element.


PDF Download: 402

Your browser does not support the canvas element.