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Review Papers | Medicine | India | Volume 12 Issue 9, September 2023 | Rating: 5.6 / 10
Strongyloides Stercoralis in Systemic Lupus Erythematosus: A Fatal Encounter
G. Chandra Kiran Kumar | Praneeth Ulavala [14] | V. Mahesh [6]
Abstract: Strongyloides stercoralis, a nematode which is also known as Threadworm is the cause of Strongyloidiasis, which is a parasitic disease. Tropical and subtropical climates such as Southeast Asia are where it is endemic. When an organism auto - infects, it might continue to infect the host for a long time. When present, symptoms lack specificity and may initially result in a wrong diagnosis, especially if the patient also has co - existing diseases. Patients who have immunosuppressive conditions are more susceptible to Strongyloides hyperinfectionsyndrome (SHS), in which the parasite multiplies and spreads quickly within the host. SHS is typically lethal if neglected. However, any delay in diagnosis and treatment may results strongyloidiasis and the hyperinfection syndrome's non - specific presentation. Here we present a case of 34 years female patient with SHS who has a history of SLE, Lupus nephritis and on steroids who presented with generalised weakness, pain abdomen, multiple episodes of vomiting, shortness of breath and altered sensorium. Identification of strongyloides stercoralis larvae in wet mount microscopic examination of patient?s BAL culture can be observed in this case.
Keywords: Systemic lupus erythematosus, Strongyloides Stercoralis, Bronchoalveolar lavage
Edition: Volume 12 Issue 9, September 2023,
Pages: 862 - 865