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Vol. 14. Issue 5.
Pages 536-539 (September - October 2010)
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Vol. 14. Issue 5.
Pages 536-539 (September - October 2010)
Case report
Open Access
Fatal Strongyloides stercoralis hyper-infection in a patient with multiple myeloma
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Mohamed A. Yassin
Corresponding author
yassin160@yahoo.co.uk

Correspondence to: Al-Amal Hospital P.O.BOX 3050 Doha QATAR Tel.: +974 4397807 /+974 4397895 Fax: +974 4397857.
, Halima El Omri, Ibrahim Al-Hijji, Ruba Taha, Reham Hassan, Kamal Al Aboudi, Hanadi El-Ayoubi
Hematology Department, Al Amal Hospital
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Abstract

Strongyloides stercoralis (S.S.) is a human intestinal parasite, which may lead to complicated strongyloidiasis. We report a case of disseminated strongyloidiasis following the treatment of myeloma. The patient developed skin lesions, respiratory distress, aseptic meningitis and bacterial and fungal sepsis. The diagnosis of strongyloidiasis was established through endotracheal tube secretions. Despite the treatment with Ivermectin and Albendazole, the outcome was fatal. The value of screening for strongyloidiasis is unclear but may be of benefit in patients with hematological malignancies from high endemic areas.

Keywords:
acute respiratory failure
disseminated strongyloidiasis
myeloma
steroids
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