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A British Second World War veteran with disseminated strongyloidiasis

Gill, Geoff, Beeching, Nicholas ORCID: https://orcid.org/0000-0002-7019-8791, Khoo, S, Bailey, Wendi, Partridge, S., Blundell, J. W. and Luksza, A. R. (2004) 'A British Second World War veteran with disseminated strongyloidiasis'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 98, Issue 6, pp. 382-386.

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Abstract

A case is described of a 78-year-old British veteran of the Second World War (1939-45) who was stationed in Southeast Asia and who developed a recurrent pneumonia with blood eosinophilia. He was treated with steroids, and eventually died with a severe Pseudomonas pneumonia. Just prior to death, larvae of Strongyloides stercoralis were identified in his sputum, and a specific serum ELISA test was later positive. At autopsy no other organs were involved, but bronchoalveolar carcinoma was found. Longstanding (57 years) chronic strongyloidiasis in a veteran who served in Southeast Asia but who was not a prisoner of war is very unusual. The pattern of dissemination was also not that of a true hyperinfection syndrome, and the case demonstrates the continued need for diagnostic vigilance amongst former soldiers who were based in the Far East. (C) 2004 Royal society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: strongyloides stercoralis strongyloidiasis second world war veteran singapore far-east prisoners stercoralis infection ex-prisoners hyperinfection eosinophilia ivermectin
Subjects: QX Parasitology > Helminths. Annelida > QX 203 Nematoda
WA Public Health > Health Problems of Special Population Groups > WA 360 Veterans health
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 865 Strongyloidiasis
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1016/j.trstmh.2003.11.002
Depositing User: Sarah Lewis-Newton
Date Deposited: 13 Feb 2012 12:25
Last Modified: 06 Feb 2018 13:03
URI: https://archive.lstmed.ac.uk/id/eprint/2230

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