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Revista Cubana de Medicina Tropical

versión impresa ISSN 0375-0760versión On-line ISSN 1561-3054


DORVIGNY SCULL, María del C.; CASTRO, Osvaldo; NUNEZ, Fidel Ángel  y  CAPO, Virginia. Disseminated strongyloidosis in AIDS patients: apropos of two cases. Rev Cubana Med Trop [online]. 2006, vol.58, n.2. ISSN 0375-0760.

Two cases with hyperinfection syndrome caused by Strongyloides stercoralis in the development of HIV/AIDS were reported. These patients had a severe immunodepression with lymphocyte counts of the subpopulation of CD4+ T cells under 200 cells/mm3. In the first case, a predominance of respiratory manifestations was observed and numerous Strongyloides rhabditiform larvae were found in sputum and faeces. In the second case, the neurological manifestations were more common, but only a larva of Strongyloides stercoralis could be detected per microscopic field (100X of magnification) in faeces. Both individuals in spite of the applied therapeutics had a fatal end. The importance of this paper is to be aware of the possibility of an infection disseminated by this helminth in some patients, and to be ready for a suitable diagnosis and an adequate treatment or prevention of the fatal consequences of the infection caused by this nematode.

Palabras clave : Strongyloides stercoralis; disseminated strongyloidosis; AIDS.

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