%0 Journal Article
%T HIPERINFECCI¨®N POR STRONGYLOIDES EN ANCIANO CON EPOC
%A Pinilla-Roa
%A An¨¢lida Elizabeth
%A L¨®pez-P¨¢ez
%A Myriam Consuelo
%J Revista Facultad de Medicina de la Universidad Nacional de Colombia
%D 2011
%I Universidad Nacional de Colombia
%X the case is presented of an 81-years old man from a rural area who had been a farmer, a coffee harvester 50 years beforehand and a gardener in bogot¨¢ for 22 years. he consulted because of abdominal pain having 10 days£¿ evolution, localized towards the mesogastrium and epigastrium. he was also suffering from dyspnoea and productive cough. background: chronic obstructive pulmonary disease, smoking 25 packets/year, he had received oral prednisone and inhaled beclomethasone on occasions, including during his last hospitalization. physical examination revealed signs of undernourishment, tachycardia, tachypnoea; stertors at the base of the right hemithorax; abdomen: soft, depressible with pain on deep palpation of the epigastrium and right hypochondrium. he was admitted suffering from systemic inflammatory response syndrome (sirs) dueto tachycardia, tachypnoea, 37,600 leukocytosis and 52%-60% eosinophilia, ig e: 180 ui/ ml. strongyloides stercoralis rabditiform larvae appeared in sputum and fecal material. thoracic radiography revealed right pleural leakage; hepatic echography was normal, endoscopy of upper digestive routes revealed gastritis and duodenitis. treatment was started with 200 mg/kg/dose ivermectin with clinical and laboratory follow-up and satisfactory clinical evolution.
%K strongyloides stercoralis
%K infection syndrome
%K eosinophilia
%K sputum
%K therapeutics.
%U http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-00112011000100006&lng=en&nrm=iso&tlng=en