Strongyloidiasis in an Institution for Mentally Retarded Adults

Braun, Todd I.; Fekete, Thomas; Lynch, Annette

doi:10.1001/archinte.1988.00380030140024

Cited by 31 publications

(10 citation statements)

References 14 publications

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“…The results from the study in an institution for mentally retarded adults showed only two cases of strongyloidiasis [28] while our study revealed 23 cases.…”

Section: Discussioncontrasting

confidence: 72%

“…Few epidemiological studies carried out in mentally retarded populations in Iran [24,25] and other parts of the world have indicated the prevalence of intestinal parasitic infections among them [26][27][28][29] . The 17.3% showed the highest incidence followed by Entamoeba coli (9.8%), Blastocystis hominis (7.5%), Giardia lamblia (2.3%), Endolimax nana (2.3%), Hymenolepis nana (0.8%), Oxyuris vermicularis (0.8%), and Chilomasix mesnili (0.8%).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Strongyloides stercoralis and other intestinal parasitic infections among mentally retarded residents in central institution of southern Iran

Shokri

Sharifi‐Sarasiabi

Teshnizi

et al. 2012

Asian Pacific Journal of Tropical Biomedicine

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“…The results from the study in an institution for mentally retarded adults showed only two cases of strongyloidiasis [28] while our study revealed 23 cases.…”

Section: Discussioncontrasting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Prevalence of Strongyloides stercoralis and other intestinal parasitic infections among mentally retarded residents in central institution of southern Iran

Shokri

Sharifi‐Sarasiabi

Teshnizi

et al. 2012

Asian Pacific Journal of Tropical Biomedicine

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“…19 The clinical features of S. stercoralis hyperinfection may vary widely; the onset may be acute or insidious. Most cases are similar to chronic strongyloidiasis associated with bacteremia and retardation clinics, 7 as well as occupations that imply close contact with contaminated soil (e.g. farming) increase the risk of infection.…”

Section: Discussionmentioning

confidence: 99%

Strongyloides stercoralis hyperinfection - a dreaded but still missed diagnosis

Crenitte¹,

Campos²,

Felipe-Silva³

2012

ACR

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Strongyloides stercoralis (S. stercoralis), an intestinal nematode, is endemic in tropical and subtropical regions, being less prevalent in temperate climates. The number of infected persons worldwide ranges between 10 million and 100 million people. In Brazil the reported prevalence is 13%. Chronic infection may be asymptomatic or accompanied by gastrointestinal and respiratory symptoms. Under immunosuppressive conditions, the infection assumes serious proportions frequently accompanied by septic shock, disseminated intravascular coagulopathy and respiratory distress syndrome. The authors report a case of a 50-year-old female patient who was a chronic user of glucocorticoids and had been seeking medical attention for two months because of continuous gastrointestinal symptoms. She was admitted to the emergency room with clinical signs of septic shock and died after four days despite an adequate antibiotic regimen, vasopressor drugs, and ventilatory support. The autopsy revealed the unsuspected finding of S. stercoralis hyperinfection and septicemia.

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“…Low socioeconomic status (128), alcoholism (26), white race (24), and male gender (128) have been associated with higher prevalences of S. stercoralis stool positivity. Clusters of cases in institutionalized individuals with mental retardation (8,93) suggest that nosocomial transmission can occur. Occupations that increase contact with soil contaminated with human waste, which may include farming (69,98) and coal mining (127, 128) depending on local practices, increase the risk of infection.…”

Section: Epidemiologymentioning

confidence: 99%

Strongyloides stercoralisin the Immunocompromised Population

2004

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Strongyloides stercoralis is an intestinal nematode of humans that infects tens of millions of people worldwide. S. stercoralis is unique among intestinal nematodes in its ability to complete its life cycle within the host through an asexual autoinfective cycle, allowing the infection to persist in the host indefinitely. Under some conditions associated with immunocompromise, this autoinfective cycle can become amplified into a potentially fatal hyperinfection syndrome, characterized by increased numbers of infective filariform larvae in stool and sputum and clinical manifestations of the increased parasite burden and migration, such as gastrointestinal bleeding and respiratory distress. S. stercoralis hyperinfection is often accompanied by sepsis or meningitis with enteric organisms. Glucocorticoid treatment and human T-lymphotropic virus type 1 infection are the two conditions most specifically associated with triggering hyperinfection, but cases have been reported in association with hematologic malignancy, malnutrition, and AIDS. Anthelmintic agents such as ivermectin have been used successfully in treating the hyperinfection syndrome as well as for primary and secondary prevention of hyperinfection in patients whose exposure history and underlying condition put them at increased risk

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Strongyloidiasis in an Institution for Mentally Retarded Adults

Cited by 31 publications

References 14 publications

Prevalence of Strongyloides stercoralis and other intestinal parasitic infections among mentally retarded residents in central institution of southern Iran

Prevalence of Strongyloides stercoralis and other intestinal parasitic infections among mentally retarded residents in central institution of southern Iran

Strongyloides stercoralis hyperinfection - a dreaded but still missed diagnosis

Strongyloides stercoralisin the Immunocompromised Population

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