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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
A case of the hyperinfection syndrome by Strongyloides stercoralis after the bacterial meningitis developed with steroid treatment |
| Language |
J |
| AuthorList |
Yusuke Hanaki1), Yoshihisa Fujiwara2), Eriko Atsumi3), Isoko Owan4), Nobuo Kuninaka1) |
| Affiliation |
1) Division of Clinical Laboratory, National Hospital Organization Okinawa National Hospital
2) Division of Neurology, National Hospital Organization Okinawa National Hospital
3) Division of Pathology, National Hospital Organization Okinawa National Hospital
4) Division of Pulmonary Medicine, National Hospital Organization Okinawa National Hospital |
| Publication |
J.J.C.M.: 33 (4), 285-289, 2023 |
| Received |
March 15, 2023 |
| Accepted |
June 5, 2023 |
| Abstract |
A woman in her seventies was admitted for steroid treatment of Sjögren's syndrome. One month after starting prednisolone, she developed confusion with fever, and a cerebrospinal fluid (CSF) examination was performed. The result of her CSF showed a predominance of polynuclear cells and Lactococcus garvieae was found in culture. Although her fever decreased after administration of antibiotics, she required tube feeding due to loss of appetite and malnutrition. As the prednisolone was reduced, her blood eosinophil count gradually increased, she developed abdominal pain and nausea, and finally, Strongyloides stercoralis was detected in her stool. She was then treated with ivermectin for Strongyloides and was discharged. Therefore, it is necessary to consider the regional characteristics and the possibility of Strongyloidiasis in patients such as those with immunosuppressed conditions. |
| Keywords |
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