Pages 398 - 403 Volume 75, Issue 4
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Death caused by strongyloides hyperinfection in a leprosy patient on treatment for a type II leprosy reaction
Bunse Leang
  Bunse Leang
Affiliation
Sihanouk Hospital Center of HOPE (SHCH), Street 134, Sangkat Veal Vong, Khan 7 Makara, PO Box 2318, Phnom Penh 3, Cambodia
Correspondence to: B. Leang (Tel: +855 23 882 484 or +855 11 850 471; Fax: +855 23 882 485; e-mail: tmed1shch@online.com.kh)
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a,*
Lut Lynen
  Lut Lynen
Affiliation
Institute of Tropical Medicine (ITM) Antwerp, Belgium
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b
Ruth Tootill
  Ruth Tootill
Affiliation
Sihanouk Hospital Center of HOPE (SHCH), Street 134, Sangkat Veal Vong, Khan 7 Makara, PO Box 2318, Phnom Penh 3, Cambodia
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a
Stephen Griffiths
  Stephen Griffiths
Affiliation
Kean Khleang National Rehabilitation Center, Phnom Penh, Cambodia
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c
Didier Monchy
  Didier Monchy
Affiliation
Institut Pasteur du Cambodge, Phnom Penh, Cambodia
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d

Strongyloides stercoralis is present worldwide and can cause hyperinfection in patients on long-term immunosuppressive doses of steroids, as is sometimes the case for patients treated for leprosy reactions. Strongyloides hyperinfection can present with ileus, as is discussed in this case report. Physicians, including surgeons, should be aware of this entity in order to avoid an unnecessary laparotomy. Though patients may survive if diagnosed at an early stage, strongyloides hyperinfection syndrome has a mortality rate of 87% and prevention is therefore of utmost importance.

Cite this article
Bunse Leang, Lut Lynen, Ruth Tootill, Stephen Griffiths, Didier Monchy;
Death caused by strongyloides hyperinfection in a leprosy patient on treatment for a type II leprosy reaction; Leprosy Review; 2004; 75; 4; 398-403; DOI: 10.47276/lr.75.4.398
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DOI: 10.47276/lr.75.4.398

articleview.journal_title: Leprosy Review
articleview.publisher: Lepra
articleview.publisher_location: Colchester, UK
articleview.article_date_pre accepted on 05 October 2004 and articleview.pub_on 01 December 2004
© Lepra 2004
LEPROSY
Leprosy Review
0305-7518
British Leprosy Relief Association
Colchester, UK
39-8403
0305-7518/04/064053+06
10.47276/lr.75.4.398
Case Report
Death caused by strongyloides hyperinfection in a leprosy patient on treatment for a type II leprosy reaction
LeangBunse
a
LynenLut
b
TootillRuth
a
GriffithsStephen
c
MonchyDidier
d
a
Sihanouk Hospital Center of HOPE (SHCH), Street 134, Sangkat Veal Vong, Khan 7 Makara, PO Box 2318, Phnom Penh 3, Cambodia
b
Institute of Tropical Medicine (ITM) Antwerp, Belgium
c
Kean Khleang National Rehabilitation Center, Phnom Penh, Cambodia
d
Institut Pasteur du Cambodge, Phnom Penh, Cambodia
Correspondence to: B. Leang (Tel: +855 23 882 484 or +855 11 850 471; Fax: +855 23 882 485; e-mail: )
01122004
75
4
398
403
05102004
© Lepra
2004
Strongyloides stercoralis is present worldwide and can cause hyperinfection in patients on long-term immunosuppressive doses of steroids, as is sometimes the case for patients treated for leprosy reactions. Strongyloides hyperinfection can present with ileus, as is discussed in this case report. Physicians, including surgeons, should be aware of this entity in order to avoid an unnecessary laparotomy. Though patients may survive if diagnosed at an early stage, strongyloides hyperinfection syndrome has a mortality rate of 87% and prevention is therefore of utmost importance.