• Turk J Med Sci · Feb 2019

    The investigation of Strongyloides stercoralis seroprevalence in immunosupressed patients in Turkey

    • Filiz Kaya, Ahmet Çağkan İnkaya, Ali İhsan Ertenli, Osman Abbasoğlu, Sercan Aksoy, Yakut Akyön Yılmaz, and Sibel Ergüven.
    • Turk J Med Sci. 2019 Feb 11; 49 (1): 16-19.

    Background/AimIn immunosuppressed patients, strongyloidiasis can be lifethreatening because of hyperinfection or dissemination. Therefore, diagnosis of S. stercoralis is important in immunosuppressed patients with chronic strongyloidiasis. In this study, our objective was to investigate the presence of S. stercoralis antibodies by an ELISA method in immunosuppressed patients.Materials And MethodsA total of 100 immunosuppressed patients’ sera were included in the study. Forty-two of the patients were receiving immunosuppressive therapies for cancer or being treated for hematopoietic malignancies, 38 of the patients were receiving immunosuppressive drugs for rheumatic diseases, 14 were receiving immunosuppressive therapies for liver transplantation. Two of the patients were being treated for HIV infection and 4 were being treated for hypogammaglobulinemia. As control group, 50 individuals without a known disease were included in the study. The presence of IgG antibodies against S. stercoralis was investigated with a commercial ELISA kit.ResultsS. stercoralis antibody test was positive in 4 of 100 (4%) sera from immunosuppressed patients. All control patients were negative for S. stercoralis.ConclusionsStrongyloidiasis can be a lifelong chronic infection if not treated. In patients who are going to receive immunosuppressive therapy, it should be tested before treatment, as it can become a disseminated and life-threatening infectious disease.

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