- 著者
- Takeshi Kinjo Daijiro Nabeya Hideta Nakamura Shusaku Haranaga Tetsuo Hirata Tomoko Nakamoto Eriko Atsumi Tatsuya Fuchigami Yoichi Aoki Jiro Fujita
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.54, no.1, pp.83-87, 2015 (Released:2015-01-01)
- 参考文献数
- 14
- 被引用文献数
- 8 9
A 62-year-old woman complained of diarrhea and vomiting after receiving chemotherapy for cervical cancer in association with high doses of corticosteroids. Two months later, the patient developed acute respiratory distress syndrome, and numerous Strongyloides stercoralis parasites were found in the intrabronchial discharge. Ivermectin was administered daily until nematodes were no longer detected in the sputum, and the patient's condition was successfully rescued. Antibodies for human T-cell lymphotropic virus-1 (HTLV-1) were positive. HTLV-1 infection and the administration of corticosteroids are known risk factors for strongyloides hyperinfection syndrome. Therefore, physicians should consider this disease in the differential diagnosis of patients from endemic areas who present with gastrointestinal symptoms under these risk factors.