Gastrointestinal parasites in the immunocompromised

Lewthwaite, Penny; Gill, Geoffrey; Beeching, Nicholas

doi:10.1097/01.qco.0000182104.40128.18

Cited by 78 publications

(45 citation statements)

References 83 publications

(75 reference statements)

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“…Geçici olarak immünyetmezlik yapan nedenler arasında immunsupresif ilaçlar, malnutrisyon, maligniteler, radyoterapi, kemoterapi, diyabetik ketoasidoz ve alkolizm yer almaktadır (11). Pulmoner infiltrasyonların, periferik eozinofili ile birlikteliği, Loeffler's sendromu (basit eozinofilik pnömoni) olarak adlandırılır (12).…”

Section: Strongyloidiasis S Stercoralis'inunclassified

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Strongyloidosis Caused Loeffler's Syndrome in an Immunosuppressed Patient Who Uses Cronic Steroid

Ekmekci¹,

Tahmaz²,

Altıparmak³

et al. 2013

TurkiyeParazitolDerg

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ÖZETStrongyloides strecoralis tüm dünyada on milyonlarca insanı enfekte eden bir insan barsak nematodudur. Ülkemizde nadiren görülmektedir. İmmün yetmezlikli hastalarda dissemine strongyloidiosis enfeksiyonu gelişebilir. S. stercoralis hiperenfeksiyonu sıklıkla enterik organizmalar ile oluşan menenjit veya sepsise eşlik eder. Glukokortikoid tedavisi hiperenfeksiyonu tetikleyen en sık durumlardan birisidir fakat hematolojik maligniteler, malnutrisyon ve AİDS ile ilişkili vakalar bildirilmektedir. İvermektin gibi antihelmintik ajanlar hiperenfeksiyon sendromunu tedavide başarı ile kullanılmaktadır. Biz burada uzun süredir steroid kullanan ve akciğerde kitle öntanısı ile tetkik edilen 82 yaşındaki bir hastada saptanan S. stercoralis enfeksiyonu ve Loeffler sendromlu bir olguyu sunuyoruz. Hasta göğüs hastalıkları kliniğinde sağ akciğer üst lobda kitle görüntüsü nedeniyle tetkik edilirken, karın ağrısı, diare ve kaşıntı şikayetlerinin olması üzerine tarafımıza yönlendirilmişti. Periferik yaymasında %43 eozinofili görüldü. Gaitanın parazitolojik incelemesinde Strongyloides stercoralis larvaları görüldü. Hastada parazitoz ve loeffler sendromu olabileceği düşünüldü. Albendazol tedavisi sonrası hastanın şikayetlerinde önemli ölçüde gerileme izlendi. (Turkiye Parazitol Derg 2013; 37: 55-7) Anahtar Sözcükler: Strongyloides stercoralis, kronik diyare, Loeffler sendromu Geliş Tarihi: 11.01.2012Kabul Tarihi: 12.01.2013 ABSTRACTStrongyloides stercoralis is an intestinal nematode of humans that infects tens of millions of people worldwide. It is a rarely reported parasitic infestation in Turkey. Disseminated strongyloidiosis may develop in patients with immunodeficiencies. S. stercoralis hyperinfection is often accompanied by sepsis or meningitis with enteric organisms. Glucocorticoid treatment is one of the conditions most specifically associated with triggering hyperinfection, but cases have been reported in association with hematologic malignancy, malnutrition, and AIDS. Anthelminthic agents such as ivermectin have been used successfully in treating the hyperinfection syndrome. We report a case of Strongiloides stercoralis infection and Loeffler syndrome that developed in a patient who had systemıc prednisolone. Thepatient in the pulmonary disease department clinic was examined because of right lung upper lobe mass image, and referred to us with complaints of abdominal pain, diarrhea and pruritus. Peripheral smear showed 43% eosinophilia. Parasitological examination of faeces showed larvae of Strongyloides stercoralis. Parasitosis and Loeffler's syndrome was considered in the patient. Thepatient's complaints declined significantly after treatment with albendazole. (Turkiye Parazitol Derg 2013; 37: 55-7)

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Section: Strongyloidiasis S Stercoralis'inunclassified

“…İmmunsuprese hastalarda tedavide ilk olarak parenteral ivermektin önerilmektedir (11). Ancak ülkemizde olmaması nedeniyle alternatifi olan albendazol tedavisinin 3 gün 400 mg oral olarak başlanıp, 200 mg'la 21 güne tamamlanması önerilmektedir.…”

Section: Strongyloidiasis S Stercoralis'inunclassified

Strongyloidosis Caused Loeffler's Syndrome in an Immunosuppressed Patient Who Uses Cronic Steroid

Ekmekci¹,

Tahmaz²,

Altıparmak³

et al. 2013

TurkiyeParazitolDerg

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“…En prolongeant l'espérance de vie, la médecine a donné lieu à un nouveau groupe de personnes dont le système immunitaire est affaibli. Ainsi, le vieillissement de la population mondiale, l'utilisation de traitements immunosuppresseurs ainsi qu'une recrudescence des maladies immunodépressives (telles que le SIDA) ont créé une large et grandissante population sensible aux maladies infectieuses (LECLERC, 2003;LEwTHwAITE et al, 2005). La survenue de l'ensemble des agents infectieux, reconnus aujourd'hui comme pathogènes hydriques, a modifié notre conception de la maîtrise de la qualité de l'eau potable.…”

Section: Les Maladies D'origine Hydrique Et La Potabilité De L'eauunclassified

“…Ceci a donc conduit l'OMS à publier une valeur limite indicative de 1 µg•L -1 de microcystine dans l'eau potable (OMS, 2008). Les microsporidies, organismes unicellulaires appartenant au groupe des champignons, peuvent être également impliquées dans des cas de diarrhées chez des personnes immunodéprimées, particulièrement chez les personnes atteintes du SIDA (LEwTHwAITE et al, 2005;NwACHUKU et GERBA, 2004). Les champignons présents dans l'eau potable sont généralement considérés comme des contaminants.…”

Section: La Diversité Des Espèces Microbiennes Dans L'eau Potableunclassified

Le réseau de distribution d’eau potable : un écosystème complexe lié à des enjeux de santé publique

Poitelon

Joyeux

Welté

et al. 2012

rseau

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L’émergence de pathogènes dans l’eau destinée à la consommation humaine représente une préoccupation majeure en matière de santé publique pour les industriels et les pouvoirs publics concernés. Parmi ces pathogènes, certains sont d’origine fécale (Cryptosporidium, Campylobacter ou bien les rotavirus), alors que d’autres vivent dans l’environnent naturel (Legionella, Pseudomonas, Aeromonas ou bien les mycobactéries). Dans l’optique de mettre en place une analyse des risques liés à la présence de ces pathogènes, il est important d’accroître nos connaissances sur l’écologie de ces microorganismes et de développer des outils d’analyse afin de réaliser une meilleure surveillance sanitaire. Par conséquent, l’écologie microbienne du réseau de distribution d’eau potable doit être étudiée en détail, particulièrement vis-à-vis des propriétés physiologiques et la diversité des espèces microbiennes présentes, afin de mieux comprendre les interactions entre les espèces communément rencontrées et celles pathogènes.The emergence of pathogens in water intended for human consumption is a major concern in terms of the public health industry and the public authorities concerned. Among these pathogens, some are of faecal origin (Cryptosporidium, Campylobacter, or rotavirus), while others live in the natural environment (Legionella, Pseudomonas, Aeromonas or mycobacteria). In order to establish a risk analysis related to the presence of these pathogens, it is important to increase our knowledge on the ecology of these microorganisms and to develop analytical tools to achieve better health monitoring. Therefore, the microbial ecology of drinking water distribution networks must be studied in detail, especially with respect to the properties and physiological diversity of the microbial species present, in order to better understand the interactions between species commonly encountered and those that are pathogens

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“…27,28 The higher prevalence of intestinal parasitosis among immigrants living in Spain for less than five years can be explained by the fact that most intestinal parasites interrupt their life cycle two or three years after leaving a favorable epidemiologic environment. We have found no explanation for the higher prevalence of intestinal parasitosis among patients from Latin America in our study.…”

Section: Pathogenic Parasitesmentioning

confidence: 99%

Tropical Diseases Screening in Immigrant Patients with Human Immunodeficiency Virus Infection in Spain

Salvador

Molina

Sulleiro

et al. 2013

The American Society of Tropical Medicine and Hygiene

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Abstract. Latent parasitic infections can reactivate because of immunosuppression. We conducted a prospective observational study of all human immunodeficiency virus (HIV)-infected immigrants who visited the Infectious Diseases Department of the Hospital Universitari Vall d'Hebron, Barcelona, Spain, during June 2010-May 2011. Screening of the most prevalent tropical diseases (intestinal parasitosis, Chagas disease, leishmaniasis, malaria, schistosomiasis, and strongyloidiasis) was performed according to geographic origin. A total of 190 patients were included: 141 (74.2%) from Latin America, 41 (21.6%) from sub-Saharan Africa, and 8 (4.2%) from northern Africa. Overall, 36.8% (70 of 190) of the patients had at least one positive result for any parasitic disease: 5 patients with positive Trypanosoma cruzi serology, 11 patients with positive Schistosoma mansoni serology, 35 patients with positive Strongyloides stercoralis serology, 7 patients with positive Leishmania infantum serology, intestinal parasitosis were detected in 37 patients, malaria was diagnosed in one symptomatic patient. We propose a screening and management strategy of latent parasitic infections in immigrant patients infected with HIV.

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Gastrointestinal parasites in the immunocompromised

Cited by 78 publications

References 83 publications

Strongyloidosis Caused Loeffler's Syndrome in an Immunosuppressed Patient Who Uses Cronic Steroid

Strongyloidosis Caused Loeffler's Syndrome in an Immunosuppressed Patient Who Uses Cronic Steroid

Le réseau de distribution d’eau potable : un écosystème complexe lié à des enjeux de santé publique

Tropical Diseases Screening in Immigrant Patients with Human Immunodeficiency Virus Infection in Spain

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