Strongyloides stercoralis infection with bloody pericardial effusion in a non-immunosuppressed patient.

Abstract

A 63-year-old Taiwan aboriginal male was admitted with exertional dyspnea, appetite loss and general fatigue. Echocardiography revealed moderate pericardial effusion and histological examination of the pericardiocentesis sample revealed an eosinophil-dominated bloody exudate. The larvae of Strongyloides stercoralis were detected in the pericardial specimen. After treatment with anti-nematodal agents, the eosinophilia decreased from 26% to 1% and the patient's symptoms improved. This is a rare case of Strongyloides-induced bloody pericardial effusion in a non-immunosuppressed patient.

• Authors: Cha-Po Lai, Yung-Hsiang Hsu, Ji-Hung Wang, Chi-Mo Lin
• Journal: Circulation journal : official journal of the Japanese Circulation Society (Circ J) Vol. 66 Issue 6 Pg. 613-4 (Jun 2002) ISSN: 1346-9843 [Print] Japan
• PMID: 12074284 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anthelmintics
• Pyrantel Pamoate
• Mebendazole

Topics

• Animals
• Anthelmintics (therapeutic use)
• Drug Therapy, Combination
• Echocardiography
• Humans
• Larva
• Male
• Mebendazole (therapeutic use)
• Middle Aged
• Pericardial Effusion (etiology, parasitology)
• Pyrantel Pamoate (therapeutic use)
• Strongyloides stercoralis (isolation & purification)
• Strongyloidiasis (complications, diagnosis, drug therapy)