Recurrent Enterococcus faecalis meningitis in a patient presenting with Strongyloides hyperinfection syndrome during HTLV-1-induced T-cell lymphoma

Schein, F.; Fouillet, Ludovic; Lutz, Mariane; Daguenet, Élisabeth; Botelho-Nevers, Élisabeth; Cornillon, Jérôme

doi:10.1016/j.medmal.2018.04.389

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…While Strongyloides hyperinfection is typically associated with Gram-negative bacteremia and meningitis, there have been case reports of hyperinfection associated with Enterococcus spp. [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Strongyloides Hyperinfection Associated with Enterococcus faecalis Bacteremia, Meningitis, Ventriculitis and Gas-Forming Spondylodiscitis: A Case Report

Wee

Hnin

et al. 2020

TropicalMed

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An elderly Singaporean male with no travel history was hospitalized for fever and altered mental status. Blood cultures grew Enterococcus faecalis, and given a preceding history of steroid use and peripheral eosinophilia, Strongyloides hyperinfection was suspected. Stool specimens were positive for Strongyloides stercoralis larvae over four days, and larvae were also isolated in an early morning nasogastric aspirate specimen prior to initiation of ivermectin. A cerebrospinal fluid examination was consistent with partially treated bacterial meningitis and ventriculitis was demonstrated on neuroimaging. In view of a persistent fever, a further imaging evaluation was performed, which demonstrated bilateral pneumonia as well as the unusual finding of gas-forming emphysematous spondylodiscitis and left psoas abscesses. Despite the early suspicion of Strongyloides hyperinfection, commencement of appropriate antibiotics and anti-helminthics, microbiological clearance of bacteremia as well as clearance of S. stercoralis from the stool, the patient still succumbed to infection and passed away 11 days after admission.

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Section: Discussionmentioning

confidence: 99%

Strongyloides Hyperinfection Associated with Enterococcus faecalis Bacteremia, Meningitis, Ventriculitis and Gas-Forming Spondylodiscitis: A Case Report

Wee

Hnin

et al. 2020

TropicalMed

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HTLV-I and Strongyloides in Australia: The worm lurking beneath

Gordon

Shield

Bradbury

et al. 2021

Advances in Parasitology

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Severe strongyloidiasis: a systematic review and meta-analysis of 339 cases

Rojas

Montoya

Villanueva-Lozano

et al. 2023

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Strongyloidiasis is a parasitosis representing a significant public health problem in tropical countries. It is often asymptomatic in immunocompetent individuals but its mortality rate increases to approximately 87% in severe forms of the disease. We conducted a systematic review, including case reports and case series, of Strongyloides hyperinfection and dissemination from 1998 to 2020 searching PubMed, EBSCO and SciELO. Cases that met the inclusion criteria of the Preferred Reported Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist were analysed. Statistical analysis was performed using Fisher’s exact test and Student's t-test and a Bonferroni correction for all the significant values. A total of 339 cases were included in this review. The mortality rate was 44.83%. The presence of infectious complications, septic shock and a lack of treatment were risk factors for a fatal outcome. Eosinophilia and ivermectin treatment were associated with an improved outcome.

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Recurrent Enterococcus faecalis meningitis in a patient presenting with Strongyloides hyperinfection syndrome during HTLV-1-induced T-cell lymphoma

Cited by 4 publications

References 6 publications

Strongyloides Hyperinfection Associated with Enterococcus faecalis Bacteremia, Meningitis, Ventriculitis and Gas-Forming Spondylodiscitis: A Case Report

Strongyloides Hyperinfection Associated with Enterococcus faecalis Bacteremia, Meningitis, Ventriculitis and Gas-Forming Spondylodiscitis: A Case Report

HTLV-I and Strongyloides in Australia: The worm lurking beneath

Severe strongyloidiasis: a systematic review and meta-analysis of 339 cases

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