Nephrotic Syndrome Secondary to Strongyloidiasis: A Common Infection with an Uncommon Presentation
Article Outline
Disseminated strongyloidiasis has often been linked with the use of immunosuppressants in patients with nephrotic syndrome. Nephrotic syndrome secondary to Strongyloides stercoralis infection, however, is a rare entity. Here, we present a case of nephrotic syndrome possibly caused by underlying S. stercoralis infection in a patient who received steroid therapy in a preceding asthmatic attack. Literature on associated sporadic reports is reviewed.
Key words: nephrotic syndrome , Strongyloides stercoralis , strongyloidiasis
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References
- . Strongyloidiasis and other intestinal nematode infections . Infect Dis Clin North Am . 1993;7:655–682
- . Chronic Strongyloides stercoralis infection in former British Far East prisoners of war . QJM . 2004;97:789–795
- . Disseminated strongyloidiasis: a retrospective study of clinical course and outcome . Eur J Clin Microbiol Infect Dis . 2006;25:14–18
- . Strongyloides stercoralis in the immunocompromised population . Clin Microbiol Rev . 2004;17:208–217
- . Disseminated strongyloidiasis: report of a case . J Formos Med Assoc . 1988;87:402–405
- Strongyloidiasis associated with nephrotic syndrome . Intern Med . 1998;37:606–610
- Disseminated strongyloidiasis in nephrotic syndrome . Clin Nephrol . 2002;57:398–401
- . Nephrotic syndrome in strongyloidiasis: remission after eradication with anthelmintic agents . Nephron . 1998;79:333–336
- Strongyloidiasis as a possible cause of nephrotic syndrome . Am J Kidney Dis . 1999;33:e4
- . Minimal change nephrotic syndrome in association with strongyloidiasis . Clin Nephrol . 2006;66:459–463
- Clinical manifestations of strongyloidiasis in southern Taiwan . J Microbiol Immunol Infect . 2002;35:29–36
- . Pulmonary strongyloidiasis: clinical and imaging features . AJR Am J Roentgenol . 1994;12:537–542
- . Cutaneous Strongyloides stercoralis infection . J Am Acad Dermatol . 2003;49(2 Suppl):S157–S160
- . Periumbilical purpura in disseminated strongyloidiasis . JAMA . 1986;256:1170–1171
- . Parasite disease in immunocompromised hosts . Am J Med . 1984;76:479–486
- . Clinical infection with Strongyloides stercoralis following etanercept use for rheumatoid arthritis . Arthritis Rheum . 2005;52:1336–1337
- . Atypical clinical presentation of strongyloidiasis in a patient co-infected with human T-cell lymphotrophic virus type I . Am J Trop Med Hyg . 2005;72:124–125
- . Serology and eosinophil count in the diagnosis and management of strongyloidiasis in a non-endemic area . Am J Trop Med Hyg . 2002;66:749–752
- . Predictive value of an enzyme-linked immunosorbent assay (ELISA) for the serodiagnosis of strongyloidiasis . Am J Clin Pathol . 1988;89:391–394
- Epidemiology of Strongyloides stercoralis in north-east Thailand: application of the agar plate culture technique compared with the enzyme-linked immunosorbent assay . Trans R Soc Trop Med Hyg . 2003;97:398–402
- . Recent approaches to the pathogenesis of minimal-change nephrotic syndrome . Nephrol Dial Transplant . 2003;18:245–248
- . Recurrence of idiopathic nephrotic syndrome after renal transplantation . Lancet . 1972;2:343–348
- . A vascular permeability factor in lymphocyte culture supernatants from patients with nephrotic syndrome . Biomedicine . 1975;23:73–75
- . Treatment failure in intestinal strongyloidiasis: an indicator of HTLV-I infection . Int J Infect Dis . 2002;6:28–30
PII: S1561-5413(08)60017-4
doi:10.1016/S1561-5413(08)60017-4
© 2008 The Hong Kong Society of Nephrology. Published by Elsevier Inc. All rights reserved.
