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



Título del documento: Cutaneous periumbilical purpura in disseminated strongyloidiasis in cancer patients: a pathognomonic feature of potentially lethal disease?
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290875
ISSN: 1413-8670
Autores: 1
2


3
Instituciones: 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
Año:
Periodo: Oct
Volumen: 9
Número: 5
Paginación: 419-424
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés 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
Disciplinas: Medicina,
Biología
Palabras clave: Diagnóstico,
Oncología,
Parasitología,
Sepsis,
Púrpura,
Cáncer,
Strongyloidiasis,
Corticosteroids
Keyword: Medicine,
Biology,
Diagnosis,
Oncology,
Parasitology,
Sepsis,
Purpura,
Cancer,
Strongyloidiasis
Texto completo: Texto completo (Ver HTML)