Disseminated strongyloidiasis in a patient with rheumatoid arthritis:A case report  

作　　者：Jin-Hao Zheng Lu-Yu Xue 

机构地区：[1]Department of Critical Care Medicine,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China

出　　处：《World Journal of Clinical Cases》2022年第18期6163-6167,共5页世界临床病例杂志

摘　　要：BACKGROUND Strongyloidiasis is usually a chronic infection but it can develop into a fatal disease in immunosuppressed patients.CASE SUMMARY A 68-year-old male with rheumatoid arthritis was treated with a variety of immunosuppressants for the past 3 years.Recently,the patient presented with a partial small-bowel obstruction,petechia,coughing and peripheral neuropathy.The diagnosis was difficult to clarify in other hospitals.Our hospital found Strongyloides stercoralis larvae with active movement in the routine stool and sputum smears.The diagnosis of disseminated strongyloidiasis was established.Ivermectin combined with albendazole was used for treatment.The patient responded to therapy and was discharged.CONCLUSION This case underscores the importance of comprehensive differential diagnosis in immunocompromised patients.

关 键 词：STRONGYLOIDIASIS Rheumatoid arthritis IMMUNOSUPPRESSANTS Small-bowel obstruction IVERMECTIN ALBENDAZOLE Case report 

分 类 号：R593.22[医药卫生—内科学] R532.1[医药卫生—临床医学]