A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia.
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Date
2015-10
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Abstract
Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key
to a timely diagnosis is to have a high index of suspicion. We present a rare case
of a 36-year-old human immunodeficiency virus negative male patient, who was
on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra
reactions with steroids in the past. The patient presented with vomiting and
pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had
features of malnutrition and had a rapid downhill course following admission.
A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure,
adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone
secretion was established on a postmortem examination.
Description
Keywords
Adrenal crisis, hyponatremia, leprosy, Strongyloides stercoralis hyperinfection
Citation
Mutreja Deepti, Sivasami Kartik, Tewari Vanmalini, Nandi Bhaskar, Nair G Lakhsmi, Patil Sunita D. A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia. Indian Journal of Pathology & Microbiology. 2015 Oct-Dec 58(4): 500-505.