DOI QR코드

DOI QR Code

Pulmonary Strongyloidiasis Masquerading as Exacerbation of Chronic Obstructive Pulmonary Disease

  • 투고 : 2015.04.26
  • 심사 : 2016.05.31
  • 발행 : 2016.10.05

초록

Pulmonary strongyloidiasis is an uncommon presentation of Strongyloides infection, usually seen in immunocompromised hosts. The manifestations are similar to that of acute exacerbation of chronic obstructive pulmonary disease (COPD). Therefore, the diagnosis of pulmonary strongyloidiasis could be challenging in a COPD patient, unless a high index of suspicion is maintained. Here, we present a case of Strongyloides hyperinfection in a COPD patient mimicking acute exacerbation, who was on chronic steroid therapy.

키워드

참고문헌

  1. Sethi S, Murphy TF. Infection in the pathogenesis and course of chronic obstructive pulmonary disease. N Engl J Med 2008;359:2355-65. https://doi.org/10.1056/NEJMra0800353
  2. Aaron SD. Management and prevention of exacerbations of COPD. BMJ 2014;349:g5237. https://doi.org/10.1136/bmj.g5237
  3. Kassalik M, Monkemuller K. Strongyloides stercoralis hyperinfection syndrome and disseminated disease. Gastroenterol Hepatol (N Y) 2011;7:766-8.
  4. Mejia R, Nutman TB. Screening, prevention, and treatment for hyperinfection syndrome and disseminated infections caused by Strongyloides stercoralis . Curr Opin Infect Dis 2012;25:458-63. https://doi.org/10.1097/QCO.0b013e3283551dbd
  5. Buonfrate D, Requena-Mendez A, Angheben A, Munoz J, Gobbi F, Van Den Ende J, et al. Severe strongyloidiasis: a systematic review of case reports. BMC Infect Dis 2013;13:78. https://doi.org/10.1186/1471-2334-13-78
  6. Ghoshal U, Khanduja S, Chaudhury N, Gangwar D, Ghoshal UC. A series on intestinal strongyloidiasis in immunocompetent and immunocompromised hosts. Trop Gastroenterol 2012;33:135-9. https://doi.org/10.7869/tg.2012.31
  7. Ortiz Romero Mdel M, Leon Martinez MD, Munoz Perez MA, Altuna Cuesta A, Cano Sanchez A, Hernandez Martinez J. Strongyloides stercoralys as an unusual cause of COPD exacerbation. Arch Bronconeumol 2008;44:451-3.
  8. Liu HC, Hsu JY, Chang KM. Strongyloides stercoralis hyperinfection presenting with symptoms mimicking acute exacerbation of chronic obstructive pulmonary disease. J Chin Med Assoc 2009;72:442-5. https://doi.org/10.1016/S1726-4901(09)70403-4
  9. Vigg A, Mantri S, Reddy VA, Biyani V. Acute respiratory distress syndrome due to Strongyloides stercoralis in non-Hodgkin's lymphoma. Indian J Chest Dis Allied Sci 2006;48:67-9.
  10. Feely NM, Waghorn DJ, Dexter T, Gallen I, Chiodini P. Strongyloides stercoralis hyperinfection: difficulties in diagnosis and treatment. Anaesthesia 2010;65:298-301. https://doi.org/10.1111/j.1365-2044.2009.06196.x
  11. Woodring JH, Halfhill H 2nd, Berger R, Reed JC, Moser N. Clinical and imaging features of pulmonary strongyloidiasis. South Med J 1996;89:10-9. https://doi.org/10.1097/00007611-199601000-00002
  12. Choi KS, Whang YN, Kim YJ, Yang YM, Yoon K, Kim JK, et al. A case of hyperinfection syndrome with Strongyloides stercoralis. Korean J Parasitol 1985;23:236-40. https://doi.org/10.3347/kjp.1985.23.2.236
  13. Lee SK, Shin BM, Khang SK, Chai JY, Kook J, Hong ST, et al. Nine cases of strongyloidiasis in Korea. Korean J Parasitol 1994;32:49-52. https://doi.org/10.3347/kjp.1994.32.1.49
  14. Hong SJ, Han JH. A case of Strongyloides stercoralis infection. Korean J Parasitol 1999;37:117-20. https://doi.org/10.3347/kjp.1999.37.2.117
  15. Kim YK, Kim H, Park YC, Lee MH, Chung ES, Lee SJ, et al. A case of hyperinfection with Strongyloides stercoralis in an immunosuppressed patient. Korean J Intern Med 1989;4:165-70. https://doi.org/10.3904/kjim.1989.4.2.165
  16. Kim J, Joo HS, Ko HM, Na MS, Hwang SH, Im JC. A case of fatal hyperinfective strongyloidiasis with discovery of autoinfective filariform larvae in sputum. Korean J Parasitol 2005;43:51-5. https://doi.org/10.3347/kjp.2005.43.2.51
  17. Kim YJ, Ahn MJ, Park KC, Lee HY, Kim KH, Byeon KM, et al. Pulmonary strongyloidiasis with alveolar hemorrhage in a patient receiving chemotherapy. Korean J Med 2009;76:502-5.

피인용 문헌

  1. Betamethasone/dexamethasone : Strongyloides hyperinfection: case report vol.1633, pp.1, 2017, https://doi.org/10.1007/s40278-017-24391-2