Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2019  |  Volume : 22  |  Issue : 2  |  Page : 234--237

Disseminated strongyloidiasis: Breaking brain barriers


Ivy Anne Sebastian1, Jeyaraj Durai Pandian1, Aroma Oberoi2, Mahesh Pundlik Kate1, Vineeth Jaison1, Smriti Bose1, Rajeshwar Sahonta1, Shavi Nagpal2, Indira Brar3 
1 Department of Neurology, Christian Medical College, Ludhiana, Punjab, India
2 Department of Microbiology, Christian Medical College, Ludhiana, Punjab, India
3 Department of Infectious Diseases, Wayne State School of Medicine, Detroit, Michigan, USA

Correspondence Address:
Dr. Jeyaraj Durai Pandian
Department of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab
India

Strongyloides stercoralis (SS) is one of the most overlooked helminthic infections despite being highly endemic in tropical and subtropical areas. In immunocompromised patients, especially those on long-term steroids, infection can often escalate to fatal dissemination into major organs. We present a compendium of two immunocompromised patients, who were on high-dose steroids and presented with worsening neurological status. Cerebrospinal fluid analysis was notable for larvae of SS as diagnosed by direct visualization. A syndrome of SS hyperinfection with dissemination was made after stool, and sputum samples also revealed SS larvae. SS is an elusive disease and should be considered early on, especially in endemic regions like India. Early diagnosis and prompt initiation of antihelminthic therapy is indispensable for favorable outcomes.


How to cite this article:
Sebastian IA, Pandian JD, Oberoi A, Kate MP, Jaison V, Bose S, Sahonta R, Nagpal S, Brar I. Disseminated strongyloidiasis: Breaking brain barriers.Ann Indian Acad Neurol 2019;22:234-237


How to cite this URL:
Sebastian IA, Pandian JD, Oberoi A, Kate MP, Jaison V, Bose S, Sahonta R, Nagpal S, Brar I. Disseminated strongyloidiasis: Breaking brain barriers. Ann Indian Acad Neurol [serial online] 2019 [cited 2020 Aug 14 ];22:234-237
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2019;volume=22;issue=2;spage=234;epage=237;aulast=Sebastian;type=0