Disseminated infection with Strongyloides stercoralis in a diabetic patient

Murali, A.; Rajendiran, G.; Ranganathan, K.; Shanthakumari, S.
October 2010
Indian Journal of Medical Microbiology;Oct2010, Vol. 28 Issue 4, p407
Academic Journal
Case Study
A 58-year-old male diabetic who was operated for carcinoma larynx 4 years back was admitted with exertional dyspnoea and bilateral leg swelling for the past 2 years. Over the last 2 months, there was a progressive worsening of symptoms. Echocardiography done 2 years back showed pericardial effusion. Echo done during the current admission also showed pericardial effusion with preserved left ventricular function; cytological examination of the pericardial fluid showed larvae of Strongyloides stercoralis. He was treated with antinematodal drugs. A follow-up echo done at discharge showed no pericardial effusion and the patient was completely asymptomatic. To our knowledge, this is the first reported case of Strongyloides pericardial effusion in a diabetic patient.


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