Cutaneous periumbilical purpura in disseminated strongyloidiasis in cancer patients: a pathognomonic feature of potentially lethal disease?



Document title: Cutaneous periumbilical purpura in disseminated strongyloidiasis in cancer patients: a pathognomonic feature of potentially lethal disease?
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290875
ISSN: 1413-8670
Authors: 1
2


3
Institutions: 1Instituto Nacional de Cancer, Unidad de Cuidado Intensivo, Rio de Janeiro. Brasil
2Universidade Federal do Rio de Janeiro, Hospital Clementino Fraga Filho, Rio de Janeiro. Brasil
3Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Estados Unidos de América
Year:
Season: Oct
Volumen: 9
Number: 5
Pages: 419-424
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico
English abstract Cutaneous manifestations in disseminated strongyloidiasis are infrequent but should raise the suspicion for its diagnosis. We retrospectively evaluated the charts of six patients with cancer and a proven diagnosis of disseminated strongyloidiasis. All patients had received prophylaxis with albendazole before starting antineoplastic therapy, which included high-dose steroids. They presented with septic shock, acute respiratory failure and characteristic purpuric periumbilical skin lesions. Strongyloides larvae were identified in tracheal aspirates (n=5), gastric aspirates (n=4), lung (n=2) and skin biopsies (n=2). All patients died despite antihelminthic therapy and intensive care support
Disciplines: Medicina,
Biología
Keyword: Diagnóstico,
Oncología,
Parasitología,
Sepsis,
Púrpura,
Cáncer,
Strongyloidiasis,
Corticosteroids
Keyword: Medicine,
Biology,
Diagnosis,
Oncology,
Parasitology,
Sepsis,
Purpura,
Cancer,
Strongyloidiasis
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