S Ntsame Ngoua, J Iba-Ba, M Igala, P E Itoudi Bignoumba, L Pemba, M I C Nziengui Madjinou, L Ledaga, L Missounga, D Malekou, J B Boguikouma
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[About a Case of Febrile Gastroenteritis Due to Strongyloidiasis in a Gabonese Patient Treated for Lupus].
Srongyloidiasis can sometimes be a source of diagnostic wandering in a patient with an autoimmune disease living in a tropical environment, despite systematic deworming with albendazole (400 mg/day/3 days), prior to the starting of a corticotherapy. We report an observation of a febrile gastroenteritis complicated by signs of intra and extracellular dehydration, in a 37-year-old lupus patient, including duodenal biopsies, and stool parasitology, which led to the diagnosis of strongyloidiasis effectively treated by ivermectin per os (two doses) of 200 micrograms/kg, once every 2 weeks apart), following failure of a first 5-days course of albendazole (400 mg/day).
期刊介绍:
Le Bulletin de la Société de pathologie exotique et la société savante (SPE) dont il est la vitrine ont été créés en 1908 par Alphonse Laveran. Destiné, dans un premier temps, à servir de support à la publication des travaux des sociétaires présentés en séance sous forme de communication ou de mémoire, ce périodique est devenu, au fil du temps, une revue internationale francophone multidisciplinaire, ouverte à tous les médecins, vétérinaires, anthropologues et chercheurs travaillant dans le domaine de la médecine tropicale humaine et animale et de la santé publique dans les pays en voie de développement.