Systemic strongyloidiasis in patients infected with the human immunodeficiency virus. A report of 3 cases and review of the literature

We report 3 cases of systemic strongyloidiasis in HIV-infected individuals and review 11 additional cases reported in the English-language literature. Systemic strongloidiasis is a rare and potentially fatal complication of late-stage HIV disease. A combination of gastrointestinal and respiratory sy...

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Bibliographic Details
Published in:Medicine (Baltimore) Vol. 73; no. 5; pp. 256 - 263
Main Authors: Celedon, J C, Mathur-Wagh, U, Fox, J, Garcia, R, Wiest, P M
Format: Journal Article
Language:English
Published: United States 01-09-1994
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Summary:We report 3 cases of systemic strongyloidiasis in HIV-infected individuals and review 11 additional cases reported in the English-language literature. Systemic strongloidiasis is a rare and potentially fatal complication of late-stage HIV disease. A combination of gastrointestinal and respiratory symptoms in an HIV-infected patient who has been to an endemic area should prompt the clinician to search for S. stercoralis in stool and sputum specimens. Treatment failures occur commonly, and careful follow-up is warranted. New antihelminthic drugs (such as ivermectin) seem promising and need to be evaluated in controlled studies.
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ISSN:0025-7974
DOI:10.1097/00005792-199409000-00004