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Case Reports
. 2017 Mar 1;7(1):28-31.
doi: 10.18683/germs.2017.1105. eCollection 2017 Mar.

Enterococcal meningitis in association with Strongyloides hyperinfection syndrome

Kalpesh S Sukhwani  1 , Nitin Bansal  2 , Mamta Soni  3 , Anand Ramamurthy  4 , Ram Gopalakrishnan  5
Affiliations
Case Reports

Enterococcal meningitis in association with Strongyloides hyperinfection syndrome

Kalpesh S Sukhwani et al. Germs. .

Abstract

Introduction: Strongyloidiasis can cause hyperinfection or disseminated infection in an immunocompromised host, and is an important factor linked to enterococcal bacteremia and meningitis.

Case reports: We report two cases highlighting the importance of suspecting Strongyloides hyperinfection syndrome in patients with enterococcal meningitis.

Conclusion: Our cases highlight the importance of suspecting Strongyloides hyperinfection syndrome in cases of community acquired enterococcal bacteremia and meningitis.

Keywords: Strongyloides hyperinfection syndrome; enterococcal bacteremia; enterococcal meningitis.

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Conflict of interest statement

Conflicts of interest: All authors – none to declare.

Figures

Figure 1.
Figure 1.. The rhabditiform Strongyloides larva is seen in a stool sample of Case 1
Direct wet mount, magnification 50x.
Figure 2.
Figure 2.. Duodenal biopsy showing inflammatory exudates with magnified view showing eggs and larvae of Strongyloides in the mucosa and mucosal glands (solid arrows).
Hematoxylin and Eosin staining, magnification 40x; inset 100x oil immersion.
See this image and copyright information in PMC

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