Medline ® Abstract for Reference 63
Systemic strongyloidiasis in patients infected with the human immunodeficiency virus. A report of 3 cases and review of the literature.
Celedon JC, Mathur-Wagh U, Fox J, Garcia R, Wiest PM
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.
Pulmonary and Critical Care Division, Brown University School of Medicine, Providence, Rhode Island.