%0 Journal Article
%T Falla org¨¢nica m¨²ltiple por estrongiloidiasis diseminada: Comunicaci¨®n de un caso Multiple-organ dysfunction caused by dissemination of Strongyloides stercoralis infection: A case report
%A F¨¦lix P¨¦rez
%A Fidel N¨²£¿ez
%A Niurys Mart¨ªn
%A Rub¨¦n Cabrera
%J Revista chilena de infectolog¨ªa
%D 2012
%I Sociedad Chilena de Infectolog¨ªa
%X Se presenta el caso de un paciente masculino, de 50 a os, con antecedentes de alcoholismo, procedente de ¨¢rea rural, que ingres¨® en la Unidad de Cuidados Intensivos por agravamiento de su estado general despu¨¦s de un s¨ªndrome febril de 25 d¨ªas de evoluci¨®n, presentando shock s¨¦ptico, coma y falla org¨¢nica m¨²ltiple. Se sospech¨® un s¨ªndrome de hiperinfecci¨®n por Strongyloides stercoralis ante la presencia de una eosinofilia importante (52%), diagn¨®stico que fue confirmado con el examen parasitol¨®gico de las heces. Se inici¨® tratamiento con tiabendazol a 25 mg/ kg al d¨ªa, cefepima, f¨¢rmacos vasoactivos, ventilaci¨®n mec¨¢nica y hemodi¨¢lisis. Falleci¨® 12 horas despu¨¦s del ingreso, posiblemente a causa de una infecci¨®n secundaria por Escherichia coli. We report here the case of a 50-year-old male patient, from a rural setting, with past history of alcoholism. He was admitted in the Intensive Care Unit due to a worsening health status after a febrile syndrome of 25 days. In addition, he had diarrhea, intense muscle ache predominantly on upper extremities and abdomen, weight loss, confusion, seizures, psychomotor agitation, tachycardia, tachipnea, anuria, septic shock, coma, and multiple-organ dysfunction syndrome. The hyperinfection syndrome caused by Strongyloides stercoralis was suspected because of severe eosinophilia (52 percent of peripheral blood leukocytes). This diagnosis was verified by the parasitological examination of stool samples by direct wet mount and Baermann techniques. Treatment with thiabendazole at 25 mg/kg per day was started, as well as cefepime, vasoactive drugs, artificial mechanic ventilation, and hemodialysis. The patient died 12 hours after admission, probably due to secondary infection with Escherichia coli.
%K Strongyloidiasis diseminada
%K alcoholismo
%K fallo m¨²ltiple de ¨®rganos
%K shock s¨¦ptico
%K Disseminated strongyloidiasis
%K alcoholism
%K multiple-organ dysfunction syndrome
%K septic shock
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182012000300016