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Vol. 32. Issue 8.
Pages 430-431 (October 1996)
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Vol. 32. Issue 8.
Pages 430-431 (October 1996)
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Infección por Strongyloides stercoralis en un paciente con obstrucción crónica al flujo aéreo corticodependiente
Strongyloides stercoralis infection in a corticoiddependent patient with chronic obstructive air flow disease
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M.J. Cremades Romero1, M.A. Martínez García, R. Menéndez Villanueva
Servicios de Neumología, Hospital Universitario La Fe. Valencia
M.L. Cremades Romero*, J. Pemán García**
* Servicio de Medicina Familiar. Hospital Universitario La Fe. Valencia
** Servicios de Microbiología. Hospital Universitario La Fe. Valencia
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Presentamos un caso de infección por Strongyloides stercoralis (SS) en un agricultor con una obstrucción crónica al flujo aéreo (OCFA) con hiperreactividad bronquial y corticodependiente. El cuadro clínico se inició con síntomas digestivos y un broncospasmo rebelde al tratamiento esteroide. El diagnóstico se estableció mediante la demostración de las larvas de SS en las heces. Se hace hincapié en la sospecha de esta infección en pacientes procedentes de un área endémica como la nuestra, y en las manifestaciones respiratorias provocadas por la infección por SS que pueden quedar enmascaradas por la propia enfermedad bronquial.

Palabras clave:
Strongyloides stercoralis
Esteroides
Broncospasmo
Endemia

We report a case of Strongyloides stercoralis infection in a male agricultural worker with corticoid dependent chronic obstructive air flow disease and bronchial hyperreactivity. The clinical picture initially involved digestive symptoms and bronchospasm resistant to steroid treatment. Diagnosis was established by demonstrating the larvae of S. stercoralis in stool. We emphasize that this infection should be suspected in patients living in endemic areas such as Spain, and describe S. stercoralis-caused respiratory manifestations that can be masked by bronchial disease.

Key words:
Strongyloides stercoralis
Steroids
Bronchospasm
Endemia
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Copyright © 1996. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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