Cases reported "Diarrhea"

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1/5. Chronic diarrhoea due to strongyloidiasis in a Nigerian with chronic renal failure: a case report.

    A case of chronic diarrhoea due to infection with strongyloides stercoralis in a Nigerian patient with chronic renal failure is presented. Due to the potential for fatal outcome in this infection, strongyloidiasis should be kept in mind as a cause of chronic diarrhoea in chronic renal failure patients in endemic areas.
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ranking = 1
keywords = stercoralis
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2/5. larva currens and systemic disease.

    Of 26 patients infested with strongyloides stercoralis 10 (38.5%) were asymptomatic without systemic or cutaneous signs. Nine patients (34.6%) presented with systemic complaints only and seven patients (26.9%) had systemic and cutaneous manifestations. Further observations of the skin lesions on four of those with systemic and cutaneous manifestations revealed linear urticarial bands, extending to several centimeters within 1 hour and persisting up to many days, waiting and waning. blood examination showed eosinophilia in all patients. These findings confirm the concept that larva currens even alone should be considered a cutaneous sign of systemic disease.
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ranking = 1
keywords = stercoralis
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3/5. Hypokalemic respiratory muscle paralysis following strongyloides stercoralis hyperinfection: a case report.

    strongyloides stercoralis hyperinfection in a malnourished 6-year-old boy was characterized by severe diarrhea, dehydration and marked hypokalemia, followed by acute respiratory failure due to respiratory muscle paralysis, and cardiac arrest. He was resuscitated and maintained with positive pressure ventilation and intravenous infusion of potassium and gluco-saline solution. These measures produced recovery from the respiratory muscle paralysis. Stool examination revealed eggs and numerous larvae of S. stercoralis, and thiabendazole was initiated. He continued to have severe diarrhea and again developed marked hypokalemia with respiratory muscle paralysis, abdominal distention, and cardiac arrhythmias with cardiac arrest episodes. In spite of fluid and electrolyte replacement the patient died.
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ranking = 6
keywords = stercoralis
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4/5. A case with severe diarrhoea and strongyloides stercoralis infection.

    A case with severe diarrhoea and strongyloides stercoralis infection is described. Further examination showed that the patient also had abnormal colonization of the duodenum with hafnia alvei and that this disappeared when the Strongyloides infection was treated with mebendazole. Symptoms such as abdominal pain, diarrhoea, "skin rash" and malabsorption in association with blood eosinophilia should arouse suspicion of strongyloidiasis.
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ranking = 5
keywords = stercoralis
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5/5. Fulminating strongyloidiasis complicating Indian kala-azar.

    infection with strongyloides stercoralis in an immunocompetent host usually remains unrecognized. Sometimes, however, it may cause serious problems in the immunocompromised host due to its enhanced invasiveness. We present here details of three kala-azar patients with fulminating strongyloidiasis manifested by acute diarrhoea with blood and mucus, severe dehydration, cough and dyspnoea with low peripheral blood eosinophils and filariform larvae of S. stercoralis in faeces. No larvae could be detected in the sputum in spite of radiological evidence of infiltration. The impact of albendazole was dramatic with a disappearance of parasites from the faeces and of pulmonary infiltration and an increase in blood eosinophil count. It is emphasized that S. stercoralis infection in kala-azar patients should be considered a serious infection and treated accordingly.
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ranking = 3
keywords = stercoralis
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