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Strongyloides stercoralis Infestation

Charles F. Winkler, MD; Harvy L. Snider, MD
Arch Intern Med. 1981;141(5):689-690. doi:10.1001/archinte.1981.00340050135034.
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To the Editor.  —We read with interest the article in the August Archives (1980;140:1061-1063) by Powell et al. Their cautions about the increasing prevalence and fatality from Strongyloides infestation in immunosuppressed patients and the unusual complications that may develop are timely.We have seen a patient with abdominal Hodgkin's disease complicated by S stercoralis infestation that reminds us of a more common complication.

Report of a Case.  —The patient was an 83-year-old man who had fever of undetermined origin. Laparotomy and splenectomy demonstrated lymphocyte-depleted Hodgkin's disease. The patient was treated with mechlorethamine hydrochloride, vincristine sulfate (Oncovin), procarbazine hydrochloride, and prednisone (MOPP), but was readmitted to the hospital on the 13th chemotherapy day complaining of decreased appetite, fever with rigors, nonproductive cough, and sore throat. Pertinent physical findings showed oral candidiasis, bilateral dry rales, grade 2/6 ejection systolic murmur at the apex with radiation to the axilla, and a well-healed surgical


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