Estrongiloidíase disseminada no imunossuprimido: relato de caso

Abstract

Strongyloides stercoralis, one of the most common human pathogens and globally distributed, infects 30 million to 100 million people around the world. Adult worms can survive in humans permanently for years, in a process known as autoinfection. However, a deregulation of the immune response of the host during latent infection can be lethal, because multiple infective larvae can develop and invade organs other than the intestines, causing sepsis and life. The clinical presentation may vary from strongyloidiasis the indolent a condition life-threatening. Symptomatic autoinfection with epigastric pain and diarrhea occur in people living in endemic areas and those with malnutrition, alcoholism, diabetes or any imunodeficiência. The diagnosis of strongyloidiasis requires a high degree of suspicion, because most patients with the infection do not show characteristics distinct clinical and laboratory and imaging findings often turn out to be inespecíficos. Keywords: Strongyloidiasis; Immunosuppression; Human immunodeficiency vírus. Ivermectin.