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분야
의약학 > 내과학
저자
조주연 ( Joo Yun Cho ) , 권중구 ( Joong Goo Kwon ) , 하경호 ( Kyung Ho Ha ) , 오재영 ( Jae Young Oh ) , 진명인 ( Myung In Jin ) , 허성욱 ( Seong Wook Heo ) , 이건호 ( Geun Ho Lee ) , 조창호 ( Chang Ho Cho )
발행기관
대한소화기학회
간행물정보
대한소화기학회지 2012년, 제60권 제5호, 330~334쪽(총5쪽)
파일형식
07811290.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Strongyloides stercoralis is a soil transmitted intestinal nematode that is endemic in the tropical and subtropical regions. In most individuals who are infected, chronic, usually asymptomatic, gastrointestinal infection persists. But, in immunocompromized hosts or in patients receiving immunosuppressive therapy, autoinfection of S. stercoralis may result in the dissemination of larvae, leading to fatal hyperinfection and increased rate of complications. We report a case of hyperinfective strongyloidiasis with bacterial meningitis in a patient receiving steroid therapy. Strongyloidiasis was diagnosed by the presence of filariform larvae of S. stercoralis in the bronchoalveolar lavage cytology and upper gastrointestinal endoscopic biopsy specimen. Her clinical symptoms had progressively aggravated and developed bacterial meningitis during treatment. She died despite aggressive antibiotic and antihelminthic therapy. (Korean J Gastroenterol 2012;60:330-334)
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