Perforated Acute Abdomen in a Immunossuppressed Patient due to Strongyloides stercoralis Hyperinfection Syndrome

Luis Felipe de Souza, Livia Gabriélle Silva Carvalho
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Abstract

Strongyloidiasis is caused by Strongyloides stercoralis, an endemic parasite in tropical regions of the world. The symptoms are mostly indolent and related to the gastrointestinal tract, however in immunosuppressed individuals, the disease can escalate to critical conditions due to a hyperinfection. This study aims to report a case of an elderly patient in oncologic treatment for a laryngeal cancer, who presented a perforated acute abdomen that required emergency laparotomy with an enterectomy, whose anatomopathological analysis revealed an important Strongyloides infection.
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粪类圆杆菌过度感染综合征引起的免疫抑制患者急性腹部穿孔
类圆线虫病是由世界热带地区的一种地方性寄生虫——粪类圆线虫引起的。症状大多为惰性,与胃肠道有关,但在免疫抑制的个体中,由于过度感染,疾病可升级为危重状态。本研究报告一例接受喉癌肿瘤治疗的老年患者,其急腹症穿孔需要紧急剖腹手术并肠切除术,其解剖病理分析显示为重要的类圆线虫感染。
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