Strongyloides stercoralis hyperinfection associated with XXXX .

@entity1 @entity295 @entity39 @entity281 @entity490 @entity881 @entity1319 @entity15235
Infection by Strongyloides stercoralis is a highly prevalent @entity15235 , which is mostly distributed in the tropical and subtropical regions of the world. Although a substantial number of cases are asymptomatic or paucisymtomatic, severe and life-threatening forms of this @entity281 still occur and not infrequently is lately diagnosed. Gram-negative bacteria @entity295 , which frequently accompanies the severe @entity15235 , contributes to the high mortality rate. Severe @entity281 is invariably triggered by any imbalance in the host's immunity, favoring the auto-infective cycle, which increases the intraluminal parasite burden enormously. Clinical presentation of severe cases is varied, and diagnosis requires a high suspicion index. Acute abdomen has been reported in association with S. stercoralis @entity281 , but intestinal @entity39 is rarely found during the surgical approach. The authors report the case of a @entity1 who sought the emergency unit with recent onset @entity490 . Clinical and imaging features were consistent with obstructive acute abdomen. Scattered adhesions and a necrotic ileal segment with a tiny perforation represented the surgical findings. The @entity1 outcome was unfavorable and respiratory distress required an open lung biopsy. Both surgical specimens showed S. stercoralis @entity281 . Unfortunately the @entity1 underwent @entity881 and @entity295 , and subsequently died. The authors call attention to the finding of intestinal @entity39 and @entity1319 as possibilities for the diagnosis and risk factor, respectively, for a severe @entity281 of S. stercoralis.
