This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (18)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Robert E. Kalb, MD; Marc E. Grossman, MD

JAMA. 1986;256(9):1170-1171.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

STRONGYLOIDES stercoralis, an intestinal nematode commonly known as the human threadworm, affects an estimated 34 million people in the world.¹ Chronic infection is often asymptomatic and may persist for many years after the normal host has left an endemic area. Immunocompromised patients may develop a fulminant illness due to a unique process in the life cycle of S stercoralis in which there are dramatic increases in the number of filariform (infective) larvae. The association between disseminated strongyloidiasis and immunosuppression was first noted in 1966^2-4 and has been well confirmed since then.

We describe a patient with fatal disseminated strongyloidiasis who developed a periumbilical purpuric eruption in which S stercoralis larvae were found on antemortem skin biopsy specimens. We believe this is the first case of widespread skin involvement in disseminated strongyloidiasis.

Report of a Case

A 62-year-old woman was admitted to Columbia Presbyterian Medical Center, New York, because . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Dermatology, College of Physicians and Surgeons, Columbia University, New York.

Footnotes
Reprint requests to Department of Dermatology, 630 W 168th St VC-15, New York, NY 10032 (Dr Grossman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?