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Case Reports
[Pulmonary strongyloidiasis complicated by E. coli meningitis in a HIV-1 and HTLV-1 positive patient].
- P Hovette, J F Tuan, P Camara, Y Lejean, N Lô, and P Colbacchini.
- Service des Maladies Infectieuses et tropicales, Hôpital d'instruction des armées Laveran, 13998 Marseille Armées.
- Presse Med. 2002 Jun 22;31(22):1021-3.
IntroductionDisseminated strongyloidiasis occurs in immunodepressed patients, notably those infected by retroviruses.ObservationA pulmonary strongyloidiasis, complicated by an Escherichia coli meningitis, occurred in a patient exhibiting seropositivity HIV1 for the past year. The status of cell immunity, with 354 lymphocytes T CD4+/mm3, could not explain this severe complication. This led to the diagnosis of an HTLV1 infection. The strongyloidiasis was treated with two cycles of ivermectine, which cured the patient.CommentsIn HIV-infected patients exhibiting severe strongyloidiasis, research for an HTLV co-infection is recommended.
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