Jd. Daubenton et al., DISSEMINATED STRONGYLOIDIASIS IN A CHILD WITH LYMPHOBLASTIC LYMPHOMA, Journal of pediatric hematology/oncology, 20(3), 1998, pp. 260-263
Purpose: This report describes a case of disseminated strongyloidiasis
in a child receiving chemotherapy for T-cell lymphoblastic lymphoma.
Patient and Methods: A 10-year-old boy became severely ill with dissem
inated strongyloidiasis 4 weeks after starting chemotherapy for T-cell
lymphoblastic lymphoma. He responded to treatment with supportive car
e, antibiotics, and albendazole but required ivermectin to eradicate t
he strongyloides infection. Conclusion: Disseminated strongyloidiasis
is a severe, life-threatening complication of Strongyloides stercorali
s infection that can occur in patients on immunosuppressive therapy, p
articularly when this therapy includes corticosteriods. In endemic are
as, screening patients due to undergo immunosuppressive treatment and
appropriate antistrongyloides treatment may be life saving. Ivermectin
is the treatment of choice.