Fatal relapse of disseminated strongyloidiasis in an HIV-positive patient, despite ivermectin treatment.
ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY 2008;
102:693-8. [PMID:
19000386 DOI:
10.1179/136485908x337616]
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Abstract
There are no established guidelines for the treatment of disseminated strongyloidiasis in immunosuppressed patients, and many different treatment regimens have been used. Here, the case of a 48-year-old, HIV-positive, Congolese man, who was hospitalized for disseminated tuberculosis but developed life-threatening disseminated strongyloidiasis, is described. This patient died, with relapsing disseminated strongyloidiasis, 3 months after being treated with ivermectin. The reasons for this poor outcome and the various treatment options for strongyloidiasis in HIV-infected patients are discussed.
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