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Medline ® Abstract for Reference 63

of 'Strongyloidiasis'

63
TI
Systemic strongyloidiasis in patients infected with the human immunodeficiency virus. A report of 3 cases and review of the literature.
AU
Celedon JC, Mathur-Wagh U, Fox J, Garcia R, Wiest PM
SO
Medicine (Baltimore). 1994;73(5):256.
 
We report 3 cases of systemic strongyloidiasis in HIV-infected individuals and review 11 additional cases reported in the English-language literature. Systemic strongloidiasis is a rare and potentially fatal complication of late-stage HIV disease. A combination of gastrointestinal and respiratory symptoms in an HIV-infected patient who has been to an endemic area should prompt the clinician to search for S. stercoralis in stool and sputum specimens. Treatment failures occur commonly, and careful follow-up is warranted. New antihelminthic drugs (such as ivermectin) seem promising and need to be evaluated in controlled studies.
AD
Pulmonary and Critical Care Division, Brown University School of Medicine, Providence, Rhode Island.
PMID