A <i>Strongyloides stercoralis</i> infection presenting as arthritis of sternoclavicular joint

Gullo, Alberto Lo; Aragona, Caterina Oriana; Ardesia, Marco; Versace, Antonio Giovanni; Saitta, Antonino; Mandraffino, Giuseppe

doi:10.3109/14397595.2015.1132954

Cited by 2 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It usually involves the lower extremity large joints but sometimes the sacroiliac or upper extremity large joints as well [6, [35][36][37][38]. Although Strongyloides larvae have been observed in a synovial biopsy specimen, suggesting an infectious type of arthritis most authors consider this to be a reactive arthritis [34,39,40]. All of the reported cases were recorded in developed countries in which the prevalence of intestinal parasites especially in immunocompetent patients is low.…”

Section: Bibliographymentioning

confidence: 99%

Parasitic Rheumatism among Patients Infected with Intestinal Parasites

Hussein¹,

el-Hamshary²,

Omar³

et al. 2019

Act Scie Gastro

View full text Add to dashboard Cite

Rheumatic syndromes, including inflammatory arthritis, inflammatory myositis, and vasculitis have been described among multiple different parasitic infections of all parasitic divisions including protozoa, nematode, and platy-helminthes [1,2]. Rheumatic pain is the main clinical manifestation of rheumatic syndromes and is defined as; pain involving articular (related to joints) and/or extraarticular structures (related to tendons and muscles) [3]. Evidence for underlying parasitic infection should be sought in patients presenting with unexplained or atypical rheumatic syndromes [4,5]. Diagnosis of parasitic rheumatism is based on the demonstration of infection with a pathogenic parasite, lack of response to antiinflammatory agents, especially non steroidal anti-inflammatory drugs (NSAD), and improvement following anti-parasitic therapy with eradication of the parasite [1]. Many terms were introduced to describe the condition, e.g. reactive arthritis [6], rheumatic syndromes associated with parasites Introduction: Many intestinal parasites can induce a variety of rheumatic syndromes as a result of direct infiltration of musculoskeletal structures or an immune mediated mechanism.Objectives: In this study, patients having unexplained rheumatic pain were examined to identifying the frequency of intestinal parasitic infection among them and which of them fulfilling parasitic rheumatism criteria.Methodology: Stool samples of 107 patients having un explained rheumatic pain were examined to explore patients with parasitic rheumatism and rheumatologic blood investigation beside plan X ray for the affected joints were done. Results:The results showed that 50 patients out of 107 had parasitic infection. Cryptosporidium infection was the commonest (48.0%) followed by C. cayetanensis (32%), G. lamblia (24%), B. hominis (20%) and E. histolytica (8%). Beside Microsporidia, S. mansoni, A. lumbricoides and S. stercoralis were 4% for each. Some patients had mixed and triple parasitic infection. Infected parasitic patients fulfilling parasitic rheumatism criteria were 16/50 (32%). Giardiasis patients having parasitic rheumatism constituted 8/16 (50%) and were the commonest. The other eight (50%) patients had Cryptosporidium, C. cayetanensis, E. histolytica/dispar and S. stercoralis. Two patients per each parasite. Giardiasis patients with parasitic rheumatism were females. Half of them (50%) were < 15 years, complained of mono-articular joint pain, while the other were adults, complained of poly-articular joint pain. Conclusion:Due to similarity of musculoskeletal presentations of parasitic diseases to many rheumatic diseases; consequently the

show abstract

Section: Bibliographymentioning

confidence: 99%

Parasitic Rheumatism among Patients Infected with Intestinal Parasites

Hussein¹,

el-Hamshary²,

Omar³

et al. 2019

Act Scie Gastro

View full text Add to dashboard Cite

show abstract

“…Belgium [26,27] (2.5%) Bosnia and Herzegovina [28] (1.2%) Bulgaria [29] (1.2%) Croatia [30] (1.2%) England [31] (1.2%) France [32][33][34][35][36][37][38][39] (13.7%) Germany [40] (1.2%) Greece [41][42][43][44][45] (6.2%) Italy [46][47][48][49][50][51][52][53][54][55] (22.5%) Macedonia [56] (1.2%) Netherlands [57] (1.2%) Norway [58] (2.5%) Portugal [59] (1.2%) Romania [60,61] (2.5%) Spain [62][63][64][65][66][67][68][69][70][71][72][73][74][75]…”

Section: Country Of Infection Exposure-[reference] N (%)mentioning

confidence: 99%

Autochthonous Human and Canine Strongyloides stercoralis Infection in Europe: Report of a Human Case in An Italian Teen and Systematic Review of the Literature

et al. 2020

View full text Add to dashboard Cite

Autochthonous human and canine strongyloidiasis is reported in Europe but is unclear whether the transmission of infection still occurs. We report a previously unpublished human case in an Italian teen and perform a systematic review of literature on autochthonous human and canine strongyloidiasis in Europe to investigate the current dynamic of transmission. Overall, 109 papers published after 1987 were included and one previously unpublished Italian case was added. Eighty case reports were retrieved and 42 of them (52.5%) had severe strongyloidiasis. Most cases were diagnosed in Spain, Italy and France. The median age was 58, the most represented age group was 61–70 years, 11 patients were under 30, and 7 of them were diagnosed after 2000. Epidemiological studies on human strongyloidiasis showed prevalence ranging from 0.56% to 28%. Overall, agriculture work, mine work and walking barefoot were the most commonly reported risk factors for infection. Canine strongyloidiasis was reported mainly in Italy (68 cases), but a few cases occurred also in Iceland, Finland, England, Germany, France, Switzerland, Russia, Slovakia, Romania and Greece. Autochthonous strongyloidiasis is still reported in Europe and sporadic transmission still occurs. Health care professionals should be aware of this issue to identify infected subjects and avoid adverse outcomes, especially in immunosuppressed patients. Further investigations are needed to clarify the zoonotic transmission of this nematode.

show abstract

A Strongyloides stercoralis infection presenting as arthritis of sternoclavicular joint

Cited by 2 publications

References 12 publications

Parasitic Rheumatism among Patients Infected with Intestinal Parasites

Parasitic Rheumatism among Patients Infected with Intestinal Parasites

Autochthonous Human and Canine Strongyloides stercoralis Infection in Europe: Report of a Human Case in An Italian Teen and Systematic Review of the Literature

Contact Info

Product

Resources

About