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Anemia, intractable vomiting, chronic diarrhea, and syndrome of inappropriate antidiuretic secretion: a diagnostic dilemma: Disseminated strongyloidosis in a patient with newly diagnosed HTLV infection-case report and review of literature.

Abstract Strongyloidiasis hyperinfection and disseminated disease have high mortality rates due to several complications and early detection of Strongyloides infection is therefore prudent.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29384908
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Anemia, intractable vomiting, chronic diarrhea, and syndrome of inappropriate
      antidiuretic secretion: a diagnostic dilemma: Disseminated strongyloidosis in a
      patient with newly diagnosed HTLV infection-case report and review of literature.
PG  - e9229
LID - 10.1097/MD.0000000000009229 [doi]
AB  - RATIONALE: Strongyloidiasis hyperinfection and disseminated disease have high
      mortality rates due to several complications and early detection of Strongyloides
      infection is therefore prudent. PATIENT CONCERNS: A 37-year-old male patient came
      with chronic diarrhea, intractable vomiting and was found to have hyponatremia,
      and anemia on the initial laboratory tests. DIAGNOSES: Further work up revealed
      syndrome of inappropriate antidiuretic secretion to be the cause of the
      hyponatremia in addition to gastrointestinal loses. His hospital course was
      complicated by persistent hyponatremia and later development of partial small
      bowel obstruction. INTERVENTIONS: Considering his symptoms we had a suspicion of 
      small bowel pathology for which he underwent an esophagogastroduodenoscopywith
      biopsies that revealed strongyloidosis as the cause of his symptoms. He was also 
      found to have human T-cell lymphotropic virus infection, likely contributing to
      the disseminated disease. OUTCOMES: He was started on ivermectin with complete
      resolution of symptoms and improvement of hyponatremia. LESSONS: It is very
      important to suspect Strongyloides infection in a patient presenting with
      syndrome ofinappropriate antidiuretic secretion as hyperinfection and
      disseminated disease can be life threatening without antihelmintic therapy.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Tariq, Hassan
AU  - Tariq H
AD  - Department of Medicine.
FAU - Kamal, Muhammad Umar
AU  - Kamal MU
AD  - Department of Medicine.
FAU - Reddy, Pavithra
AU  - Reddy P
AD  - Department of Medicine.
FAU - Bajantri, Bharat
AU  - Bajantri B
AD  - Department of Medicine.
FAU - Niazi, Masooma
AU  - Niazi M
AD  - Department of Pathology, Bronx Lebanon Hospital Center, Bronx, NY.
FAU - Matela, Ajsza
AU  - Matela A
AD  - Department of Medicine.
FAU - Zeana, Cosmina
AU  - Zeana C
AD  - Department of Medicine.
FAU - Ihimoyan, Ariyo
AU  - Ihimoyan A
AD  - Department of Medicine.
FAU - Dev, Anil
AU  - Dev A
AD  - Department of Medicine.
FAU - Chilimuri, Sridhar
AU  - Chilimuri S
AD  - Department of Medicine.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Anemia/*etiology
MH  - Animals
MH  - Diarrhea/*etiology
MH  - HTLV-I Infections/*complications/diagnosis
MH  - Humans
MH  - Inappropriate ADH Syndrome/diagnosis/*etiology/therapy
MH  - Male
MH  - Strongyloides stercoralis
MH  - Strongyloidiasis/complications/*diagnosis/therapy
MH  - Vomiting/*etiology
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009229 [doi]
AID - 00005792-201712290-00016 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9229. doi: 10.1097/MD.0000000000009229.