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Two cases of massive lower gastrointestinal hemorrhage in immunosuppressed patients were due to complicated infestation with Strongyloides stercoralis. The very high mortality of disseminated strongyloidiasis may in part be attributed to delays in diagnosis and treatment resulting from the complex life cycle of this nematode. Successful therapy in the cases presented consisted of reduction of corticosteroid dosage, use of thiabendazole in excess of that recommended for uncomplicated infestation, parenterally administered nutrition, multiple transfusion of blood products, and vigorous supportive management. Emphasis is given to proper categorization of patients and measures designed to prevent, detect, and treat hyperinfection in patients in whom immunosuppression is anticipated.
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
October 2016,
Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
January 1979,
International surgery,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
February 2020,
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R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
January 1977,
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R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
April 1977,
The American surgeon,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
January 2004,
International surgery,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
October 2002,
Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
October 2016,
Gastroenterologia y hepatologia,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
May 2002,
World journal of surgery,
R W Powell, and
J P Moss, and
D Nagar, and
J C Melo, and
L H Boram, and
W H Anderson, and
S H Cheng
June 2011,
Gut and liver,
