Case Report: Incidentally Discovered Strongyloides stercoralis Infection after Urinary Diversion
Strongyloidiasis is a disease caused by the parasite in humans. We present a case of incidentally discovered urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonst...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2020-06, Vol.102 (6), p.1396-1398 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Bhasin, Ajay Yura, Emily Boyd, Darren Kuksuk, Linda Flaherty, John P |
| description | Strongyloidiasis is a disease caused by the parasite
in humans. We present a case of incidentally discovered
urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonstrated eosinophilia before surgery and detection of the parasite. Social review demonstrated endemic exposure. Our patient's case was differentiated from hyperinfection by the presence of rhabditiform larvae, and not filariform larvae, in the urine, suggesting localized small bowel infection was transferred to the urinary tract secondary to the creation of the ileal loop conduit. This patient's clinical course improved with antibiotic treatment of the bacterial infectious complications of surgery and resolution of
infection with ivermectin. To our knowledge, this is the first case of
infection of the urinary tract secondary to ileal loop conduit creation and not as a result of hyperinfection. |
| doi_str_mv | 10.4269/ajtmh.19-0956 |
| format | Article |
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in humans. We present a case of incidentally discovered
urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonstrated eosinophilia before surgery and detection of the parasite. Social review demonstrated endemic exposure. Our patient's case was differentiated from hyperinfection by the presence of rhabditiform larvae, and not filariform larvae, in the urine, suggesting localized small bowel infection was transferred to the urinary tract secondary to the creation of the ileal loop conduit. This patient's clinical course improved with antibiotic treatment of the bacterial infectious complications of surgery and resolution of
infection with ivermectin. To our knowledge, this is the first case of
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in humans. We present a case of incidentally discovered
urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonstrated eosinophilia before surgery and detection of the parasite. Social review demonstrated endemic exposure. Our patient's case was differentiated from hyperinfection by the presence of rhabditiform larvae, and not filariform larvae, in the urine, suggesting localized small bowel infection was transferred to the urinary tract secondary to the creation of the ileal loop conduit. This patient's clinical course improved with antibiotic treatment of the bacterial infectious complications of surgery and resolution of
infection with ivermectin. To our knowledge, this is the first case of
infection of the urinary tract secondary to ileal loop conduit creation and not as a result of hyperinfection.</description><subject>Aged</subject><subject>Animals</subject><subject>Case reports</subject><subject>Cystectomy</subject><subject>Humans</subject><subject>Infections</subject><subject>Ivermectin - therapeutic use</subject><subject>Male</subject><subject>Parasitic diseases</subject><subject>Strongyloides stercoralis - isolation & purification</subject><subject>Strongyloidiasis - diagnosis</subject><subject>Strongyloidiasis - drug therapy</subject><subject>Strongyloidiasis - urine</subject><subject>Surgery</subject><subject>Urinary Diversion</subject><subject>Urinary tract infections</subject><subject>Urogenital system</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1Lw0AUXESxtXr0KgEvXlL3O1kPgtSvQkFQe143yUubkmbrblrov3dra1FPD96bGWbeIHROcJ9Tqa7NrJ1P-0TFWAl5gLqEJzImkotD1MUY01hJlnTQifczjElKCTlGHUYpTZNEddHHwHiIXmFhXXsTDZu8KqBpTV2vo_vK53YFDororXW2maxrG64-8i243DpTVz4wSsjbyjaRKcM6GruqMW5DDkwf9qfoqDS1h7Pd7KHx48P74DkevTwNB3ejOOdEtDHjSrEieA0pIOUZk5gCGExwlpGiKNOMMygzlhhWpBmjqSywwJkQSsoSc8Z66Haru1hmcyjykCI41AtXzYMfbU2l_16aaqondqUTKhhOeRC42gk4-7kE3-p5eADUtWnALr2mLBU0oSr47KHLf9CZXbomxNOUE0aEVIQEVLxF5c5676DcmyFYb7rT391povSmu4C_-J1gj_4pi30BHGKXdg</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Bhasin, Ajay</creator><creator>Yura, Emily</creator><creator>Boyd, Darren</creator><creator>Kuksuk, Linda</creator><creator>Flaherty, John P</creator><general>Institute of Tropical Medicine</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200601</creationdate><title>Case Report: Incidentally Discovered Strongyloides stercoralis Infection after Urinary Diversion</title><author>Bhasin, Ajay ; Yura, Emily ; Boyd, Darren ; Kuksuk, Linda ; Flaherty, John P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-34993d963956e84b3602eea010bb1ddf8b43efb37a3d8b3286d050b55966f0433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Animals</topic><topic>Case reports</topic><topic>Cystectomy</topic><topic>Humans</topic><topic>Infections</topic><topic>Ivermectin - therapeutic use</topic><topic>Male</topic><topic>Parasitic diseases</topic><topic>Strongyloides stercoralis - isolation & purification</topic><topic>Strongyloidiasis - diagnosis</topic><topic>Strongyloidiasis - drug therapy</topic><topic>Strongyloidiasis - urine</topic><topic>Surgery</topic><topic>Urinary Diversion</topic><topic>Urinary tract infections</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhasin, Ajay</creatorcontrib><creatorcontrib>Yura, Emily</creatorcontrib><creatorcontrib>Boyd, Darren</creatorcontrib><creatorcontrib>Kuksuk, Linda</creatorcontrib><creatorcontrib>Flaherty, John P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhasin, Ajay</au><au>Yura, Emily</au><au>Boyd, Darren</au><au>Kuksuk, Linda</au><au>Flaherty, John P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case Report: Incidentally Discovered Strongyloides stercoralis Infection after Urinary Diversion</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>102</volume><issue>6</issue><spage>1396</spage><epage>1398</epage><pages>1396-1398</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><abstract>Strongyloidiasis is a disease caused by the parasite
in humans. We present a case of incidentally discovered
urinary tract infection in a patient in whom there was a urologic surgery consisting of urinary diversion created by self-bowel transplantation and conduit creation. Historical review demonstrated eosinophilia before surgery and detection of the parasite. Social review demonstrated endemic exposure. Our patient's case was differentiated from hyperinfection by the presence of rhabditiform larvae, and not filariform larvae, in the urine, suggesting localized small bowel infection was transferred to the urinary tract secondary to the creation of the ileal loop conduit. This patient's clinical course improved with antibiotic treatment of the bacterial infectious complications of surgery and resolution of
infection with ivermectin. To our knowledge, this is the first case of
infection of the urinary tract secondary to ileal loop conduit creation and not as a result of hyperinfection.</abstract><cop>United States</cop><pub>Institute of Tropical Medicine</pub><pmid>32228779</pmid><doi>10.4269/ajtmh.19-0956</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Animals Case reports Cystectomy Humans Infections Ivermectin - therapeutic use Male Parasitic diseases Strongyloides stercoralis - isolation & purification Strongyloidiasis - diagnosis Strongyloidiasis - drug therapy Strongyloidiasis - urine Surgery Urinary Diversion Urinary tract infections Urogenital system |
| title | Case Report: Incidentally Discovered Strongyloides stercoralis Infection after Urinary Diversion |
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