Central Nervous System Strongyloides Stercoralis: A Case Report

Key Findings & Data:In this report, we describe an unusual case of a 13-year-old girl presented with epileptic fits, multiple brainlesions and diagnosed as Strongyloides stercoralis infestation.

💡

Conclusion & Impact:MRI features were totally regressed after the treatment with oral Albendazole for 3 months.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Özet

Strongyloidiasis is an infestation caused by the intestinal nematode Strongyloides stercoralis. It is potentially fatal in immunocompromised hosts due to its capacity to cause an overwhelming hyperinfestation however infested healthy individuals are usuallyasymptomatic. Hyperinfestation is extremely rare in the Central Nervous System (CNS) and usually limited to the gastrointestinaltract or lungs. CNS involvement in strongyloidiasis has only been seen in patients with hyperinfestation syndrome and may be fatalwhen misdiagnosed. In this report, we describe an unusual case of a 13-year-old girl presented with epileptic fits, multiple brainlesions and diagnosed as Strongyloides stercoralis infestation. Suitable frontal lesion biopsied and diagnosed as Strongyloidesinfestation and vasculitis. MRI features were totally regressed after the treatment with oral Albendazole for 3 months.

🔖

Cite This Article

OKTAR, N., ÖZER, H. M., DEMİRTAŞ, E. (2020). Central Nervous System Strongyloides Stercoralis: A Case Report. Turkish Neurosurgery, Cilt: 30 - Sayı: 5, 776–779. https://ajindex.com/articles/404345

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (1)

Dokmeci O, Forshay B, Scholand SJ: Worms on the brain: Fatal meningoencephalitis from disseminated strongyloides infection. Conn Med 77(1):31-33, 2013 2. Dutcher JP, Marcus SL, Tanowitz HB, Wittner M, Fuks JZ, Wiernik PH: Disseminated strongyloidiasis with central nervous system involvement diagnosed antemortem in a patient with acquired immunodeficiency syndrome and Burkitt’s lymphoma. Cancer 66(11):2417-2420, 1990 3. Feely NM, Waghorn DJ, Dexter T, Gallen I, Chiodini P: Strongyloides stercoralis hyperinfection: Difficulties in diagnosis and treatment. Anaesthesia 65(3):298-301, 2010 4. Gann PH, Neva FA, Gam AA: A randomized trial of single-and two-dose ivermectin versus thiabendazole for treatment of strongyloidiasis. J Infect Dis 169:1076–1079, 1994 5. Genta RM: Global prevalence of strongyloidiasis: Critical review with epidemiologic insights into the prevention of disseminated disease. Rev Infect Dis 11:755–767, 1989 6. Giannoulis E, Arvanitakis C, Zaphiropoulos A, Nakos V, Karkavelas G, Haralambidis S: Disseminated strongyloidiasis with uncommon manifestations in Greece. J Trop Med Hyg 89(4):171-178, 1986 7. Gompels MM, Todd J, Peters BS, et al: Disseminated strongyloidiasis in AIDS: Uncommon but important. AIDS 5:329–332, 1991 8. Igra-Siegman Y, Kapila R, Sen P, et al: Syndrome of hyperinfection with Strongyloides stercoralis. Rev Infect Dis 3:397–407, 1981 9. Kothary NN, Muskie JM, Mathur SC: Strongyloides stercoralis hyperinfection. Radiographics 19:1077–1081, 1999 10. Lahn MM, Staub-Schmidt T, Himy R, Villard O, Molet B, Kremer M, Christmann DJ: Strongyloides stercoralis infection in a non-immunosuppressed tourist with involvement of the central nervous system. Trop Geogr Med 46(6):368-370, 1994 11. Masdeu JC, Tantulavanich S, Gorelick PP, et al: Brain abscess caused by Strongyloides stercoralis. Arch Neurol 39:62–63, 1982 12. McLarnon M, Ma P: Brain stem glioma complicated by Strongyloides stercoralis. Ann Clin Lab Sci 11:546–549, 1981 13. Morgello S, Soifer FM, Lin CS, Wolfe DE: Central nervous system Strongyloides stercoralis in acquired immunodeficiency syndrome: A report of two cases and review of the literature. Acta Neuropathol 86(3):285-288, 1993 14. Nadir E, Grossman T, Ciobotaro P, Attali M, Barkan D, Bardenstein R, Zimhony O: Real-time PCR for Strongyloides stercoralis–associated meningitis. Diagnostic Microbiology and Infectious Disease 84(3):197-199, 2016 15. Norsarwany M, Abdelrahman Z, Rahmah N, Ariffin N, Norsyahida A, Madihah