热带医学与外科

抽象的

Case Report: Infection by Strongyloides stercoralis Associated with Empty Sella Syndrome

Elisa Angela Jaime Aguilera*, Jose Trinidad Sanchez Vega , Angelica Almanza Mackintoy

Presenting the clinical case of a 76 years old woman diagnosed with: diabetes, hyperthyroidsm, arterial hypertension, obesity, empty sella syndrome and panhypopituitarism; which led to multiple treatments with prednisone among them. Shortly after beginning of the treatment with steroids a significant elevation of eosinophils (hypereosinophilic syndrome) was detected. After not having a favorable response to the treatment, the patient was transferred to the Faculty of Medicine of UNAM. Her laboratory exams showed a great amount of rhabditiform larvae revealed in a standard stool examination, this finding led to a treatment scheme with ivermectin. In the subsequent laboratory results the plasmatic levels of eosinophils were reported normal and the stool examination results were negative, therefore the patient is discharged after several control exams. A cause-effect relationship is established between the inmunosupresion caused from the treatment with steroids in addition to the risks factors and the poor cleaning habits, which caused the hyperinfection syndrome by Strongyloides stercoralis.