• Rev. Inst. Med. Trop. Sao Paulo · May 2010

    Case Reports

    Staphylococcus warneri meningitis in a patient with Strongyloides stercoralis hyperinfection and lymphoma: first report of a case.

    • Renzo Nino Incani, Marcos Hernández, Jackeline Cortez, María Elena González, and Yaimir Dorel Salazar.
    • Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia 2001, Venezuela. rincani@uc.edu.ve
    • Rev. Inst. Med. Trop. Sao Paulo. 2010 May 1;52(3):169-70.

    AbstractA case of meningitis due to Staphylococcus warneri in a patient with a hyperinfection with Strongyloides stercoralis possibly associated with rituximab treatment for mantel cell lymphoma is reported for the first time in the literature. The patient was a 59-year-old woman, with a 3-year history of an apparently well controlled lymphoma after treatment with chemotherapy-immunotherapy and then immunotherapy alone, and diagnosis of strongyloidiasis. Meningitis was diagnosed by cerebrospinal fluid culture and tested with an automated plate system. The patient was successfully treated with vancomycin; although fever and productive cough persisted. Severe gastrointestinal symptoms and pneumonia developed three weeks later. Hyperinfection syndrome by S. stercoralis was diagnosed, with abundant larvae in feces and expectoration.

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