The Study of Acute Respiratory Distress Syndrome due to Strongyloides stercoralis in Lupus Nephritis | Chapter 10 | New Frontiers in Medicine and Medical Research Vol. 5
Strongyloides stercoralis is an intestinal helminth that
spreads through the skin and is found in tropical and subtropical rural areas.
The pulmonary disease produced by the parasite is most usually asymptomatic to
mild disease in immunocompetent patients, but it can be life-threatening in
immunocompromised subjects. Steroids and Cyclophosphamide were used to treat a
twenty-one-year-old man with class IV lupus nephritis. He reported with the
following symptoms after 1.5 months of therapy: diarrhoea, stomach discomfort,
and dyspnea quickly progressed to acute respiratory distress syndrome (ARDS),
which necessitated ventilation. Strongyloides stercoralis was found in
bronchoalveolar lavage (BAL). With satisfactory results, he was treated with IV
antibiotics, Ivermectin, and Albendazole. The authors summarise a case of
strongyloidiasis hyper infection syndrome in immunocompromised patients and
explore the many elements of Strongyloides stercoralis infection in this
article. The parasite's life cycle and treatment options are highlighted. In
endemic locations, corticosteroid administration can result in the development
of Strongyloides hyper-infection syndrome. To save lives, early detection,
diagnosis, and treatment of Strongyloidiasis are required.
Author(s) Details
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
Dr. Hardik Patel
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
Dr. Vipul Chakurkar
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
View Book :- https://stm.bookpi.org/NFMMR-V5/article/view/3024
Comments
Post a Comment