말기 위암 환자에서 발생한 분선충 중감염 1예
A case of hyperinfection with Strongyloides stercoralis in terminal stomach cancer
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초록
저자들은 말기 위암으로 건강상태가 쇠약한 71세의 남자환자로부터 얻어진 대변검사에서 많은 수의 분선충의 유충 및 성충을 발견하였으며, albendazole 400 mg을 2회로 나누어 3일간 경구 투여 하였다. 1개월 후에 실시한 대변 검사상 분선충의 유충 및 성충은 더 이상 발견되지 않았으며, 이를 문헌 고찰과 함께 보고하는 바이다.
Abstract
Strongyloides stercoralis is an intestinal nematode which infects a large portion of the world's population especially in tropical areas and other hot, humid regions. Because of an opportunistic nature of the parasite, the infection is confined to the intestinal tract in immunocompetent hosts. But, in individuals having immunocompromised state, the parasite is augmented by autoinfection, resulting in hyperinfection and/or systemic dissemination. In Korea, several cases of strongyloides hyperinfection were reported since 1959, especially who had corticosteroid therapy and other immunosuppressive medications. We experienced a case of strongyloides hyperinfection, accompanied with terminal stage of stomach cancer. The patient responded to treatment with albendazole. After one month later, repeated follow-up stool exam revealed clearance of the larvae from the patient' feces. So, we report this case with the literature.(Korean J Med 62:230-233, 2002)