Journal: | The brazilian journal of infectious diseases |
Database: | PERIÓDICA |
System number: | 000290875 |
ISSN: | 1413-8670 |
Authors: | Salluh, Jorge I.F1 Bozza, Fernando A2 Pinto, Tatiana S Toscano, Luisa Weller, Peter F3 Soares, Marcio |
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: | 2005 |
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 |
Full text: | Texto completo (Ver HTML) |