Journal of Global Infectious Diseases

LETTER TO EDITOR
Year
: 2017  |  Volume : 9  |  Issue : 2  |  Page : 86--87

Strongyloides stercoralis infection: A case series from a tertiary care center in India


Nitin Gupta1, Aashish Choudhary2, Bijay Ranjan Mirdha2, Pratibha Kale2, Kamla Kant2, Arnab Ghosh2, Nishant Verma2,  
1 Department of Medicine and Microbiology, Division of Infectious Disease, All India Institute of Medical Sciences, New Delhi, India
2 Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Bijay Ranjan Mirdha
Room No 2078, Department of Microbiology, 2nd Floor, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India




How to cite this article:
Gupta N, Choudhary A, Mirdha BR, Kale P, Kant K, Ghosh A, Verma N. Strongyloides stercoralis infection: A case series from a tertiary care center in India.J Global Infect Dis 2017;9:86-87


How to cite this URL:
Gupta N, Choudhary A, Mirdha BR, Kale P, Kant K, Ghosh A, Verma N. Strongyloides stercoralis infection: A case series from a tertiary care center in India. J Global Infect Dis [serial online] 2017 [cited 2020 Apr 3 ];9:86-87
Available from: http://www.jgid.org/text.asp?2017/9/2/86/204694


Full Text

Sir,

Strongyloidiasis remains a neglected tropical disease as reflected by the paucity of published literature from India.[1],[2] We conducted a retrospective, descriptive study on thirty patients, who were diagnosed with strongyloidiasis in our hospital. The patients were diagnosed using wet mount microscopy. The majority of the patients diagnosed with strongyloidiasis were in the age group of 31–40 years (10/30, 33%). The proportion of diseased males (24/30, 80%) was significantly higher than the females (6/30, 20%). Eighteen of the thirty patients had other coexisting conditions [Table 1]. HIV infection was most commonly associated with strongyloidiasis in our study, which was in concordance with another study from our country.[3] Increasing number of cases with strongyloidiasis reported in transplant settings has encouraged recommendations for a pretransplant screening.[4] The mean number of larvae detected from the samples of immunosuppressed versus immunocompetent patients was 21.7/cover slip area and 2.9/cover slip area, respectively. There were five patients with severe manifestations and increased load of rhabditiform larvae in stool. Four of these five patients with severe manifestations had HIV infection while one was a liver transplant recipient. A definite diagnosis of hyperinfection syndrome was possible in only one of these patients in whom filariform larvae were demonstrated in the tracheal aspirate. The global increase in the number of immunosuppressed individuals coupled with the high parasitic load and severe manifestations noted in these patients suggests that there is a definite need for heightening suspicion, diagnosing early, and promptly treating these patients.{Table 1}

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Conflicts of interest

There are no conflicts of interest.

References

1Khuroo MS. Hyperinfection strongyloidiasis in renal transplant recipients. BMJ Case Rep 2014;2014. pii: Bcr2014205068.
2Tiwari S, Rautaraya B, Tripathy KP. Hyperinfection of Strongyloides stercoralis in an immunocompetent patient. Trop Parasitol 2012;2:135-7.
3Chordia P, Christopher S, Abraham OC, Muliyil J, Kang G, Ajjampur Ss. Risk factors for acquiring Strongyloides stercoralis infection among patients attending a tertiary hospital in South India. Indian J Med Microbiol 2011;29:147-51.
4Avery RK. Recipient screening prior to solid-organ transplantation. Clin Infect Dis 2002;35:1513-9.