IP Journal of Urology, Nephrology and Hepatology Science

Acute respiratory distress syndrome due to strongyloides stercoralis in Lupus nephritis

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Article Type : Case Report

Author Details: Umapati Hegde*,Hardik Patel,Vipul Chakurkar

Volume : 3

Issue : 4

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 88

Article End Page : 91

Abstract

Strongyloides stercoralis is an intestinal helminth that infects humans transdermally, endemic in tropical and subtropical rural regions. In immunocompetent subjects, pulmonary disease caused by the parasite most commonly is asymptomatic to mild disease, but the same can be life threatening in immunocompromised subjects. A 21-year-old male suffering from class IV lupus nephritis was started on steroids and cyclophosphamide. After 1.5 months’ therapy, he presented with diarrhoea, abdominal pain and dyspnea, rapidly worsened to acute respiratory distress syndrome (ARDS) needing ventilation. Bronchoalveolar lavage (BAL) showed Strongyloides stercoralis. He was treated with IV antibiotics, Ivermectin and albendazole with good results.

Keywords: Acute Respiratory Distress Syndrome, Strongyloides stercoralis, Hyper infection, Lupus Nephritis.

Doi No:-10.18231