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Case Reports
. 2020 Oct;103(4):1590-1592.
doi: 10.4269/ajtmh.20-0699.

Case Report: Disseminated Strongyloidiasis in a Patient with COVID-19

Audun J Lier  1 , Jessica J Tuan  1 , Matthew W Davis  2 , Nathan Paulson  3 , Dayna McManus  2 , Sheldon Campbell  3 , David R Peaper  3 , Jeffrey E Topal  1   2
Affiliations
Case Reports

Case Report: Disseminated Strongyloidiasis in a Patient with COVID-19

Audun J Lier et al. Am J Trop Med Hyg. 2020 Oct.

Abstract

The SARS-CoV-2 virus has emerged and rapidly evolved into a current global pandemic. Although bacterial and fungal coinfections have been associated with COVID-19, little is known about parasitic infection. We report a case of a COVID-19 patient who developed disseminated strongyloidiasis following treatment with high-dose corticosteroids and tocilizumab. Screening for Strongyloides infection should be pursued in individuals with COVID-19 who originate from endemic regions before initiating immunosuppressive therapy.

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Figures

Figure 1.
Figure 1.
(A) First-stage rhabditiform larva (300 µm in length) of Strongyloides on sputum Gram stain. (B) Serpiginous tracks seen on the sputum culture chocolate agar plate. (C) Strongyloides larva (280 µm in length) on an iodine-stained wet mount of sputum with prominent genital primordium (D) and rhabditoid esophagus with short buccal canal (E). This figure appears in color at www.ajtmh.org.
See this image and copyright information in PMC

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References

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