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Zhong Nan Da Xue Xue Bao Yi Xue Ban · Apr 2014
Review Case Reports[Review of 2 cases of severe infection with pulmonary Strongyloides stercoralis].
- Dan Chen, Hongyi Tan, Pinhua Pan, Ruichao Niu, and Chengping Hu.
- Department of Respiration, Xiangya Hospital, Central South University, Changsha 410008, Department of Respiration, Xiangdong Hospital, Hunan Normal University, Liling Hunan 412200, China.
- Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Apr 1; 39 (4): 428-32.
ObjectiveTo improve the understanding of pulmonary Strongyloides stercoralis.MethodsTwo paients were diagnosed with severe infection with pulmonary Strongyloides stercoralis by respiratory ICU of Xiangya Hospital. The clinical manifestations, laboratory tests, imaging and pathological data were analyzed. Another 87 cases in the literature were reviewed from 1973 to 2013.ResultsIn the 2 cases, digestive symptoms were the first symptom and Strongyloides stercoralis was found in the lungs. Eosinophils was detected in the 13 death cases by blood routine examination, with 10 cases≤0.05× 10(9)/L.ConclusionThe farmers were the main infected people. Patients with basic diseases or with immunosuppression due to long-term glucocorticoid treatment tend to infect and even die after the infection with Strongyloides stercoralis. Eosinophil granulocyte reduction shows poor prognosis, which needs early diagnosis and treatment.
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