Diagnostic Difficulty in Strongyloides Hyperinfection along with Bateremia -A Case Report

Abstract

The spectrum of clinical presentation of Strongyloidiasis is wide. From asymptomatic to generalized symptoms can be a presenting feature. This is an endemic disease in tropical and subtropical countries. Still diagnosis can be missed in the earlier stages ending up in hyperinfection which is the dangerous turn of this infection. Since this infection is far wider in prevalence and there is a huge population of diabetic patients there has to be more awareness of this neglected infection. Here we present an interesting case of stongyloides from Chennai, south India who was admitted with Type II Diabetes, Diabetic foot with MRSA bacteremia and later on found out to be a chronic case of strongyloides infection in whom the route of entry of the infection must have been the diabetic ulcer. This case study presents the diagnostic difficulty of strongyloides infection when it coexists rarely with MRSA bacteremia.