[ XXXX , a rare cause of multiple organ failure].

@entity1 @entity11333 @entity3070 @entity3753 @entity10478 @entity16 @entity645 @entity13739 @entity432 @entity204 @entity2662 @entity18884
INTRODUCTION: @entity13739 is an @entity11333 , frequent in tropical countries and fairly rare in temperate areas under certain conditions. Disseminated forms can provoke @entity16 . CASE REPORT: A 75 year-old @entity1 , hospitalized for @entity432 , developed multivisceral (cerebral, renal, cardiac pulmonary and hepatic) damage over 48 hours, attributed to @entity13739 . The diagnosis was confirmed by isolation of larvae in the tracheal and gastric aspiration fluids. Treatment combined @entity3070 and @entity3753 . COMMENTS: Disseminated stronglyloidiasis is essentially observed in immunodepressed @entity1 , under corticosteroids or @entity2662 carriers, although an @entity645 status does not appear to intervene. Larvae can be found in all the organs. @entity204 occurs by multivisceral failure in 50 to 70% of cases. Broncho-alveolar washing and examination of the gastric fluids is the key to diagnosis. Treatment relies on @entity18884 , @entity3070 or @entity3753 , and the symptomatic management of all the @entity10478 .
