Strongyloides meningitis

Acute pyogenic meningitis occurred in a 46-year-old woman receiving long-term steroid therapy. Cultures for bacteria and fungi were negative, and the meningitis failed to respond to broad spectrum antibiotics. Abundant Strongyloides stercoralis larvae were found in the patient's feces a sputum,...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 80; no. 7; p. 916
Main Authors Belani, A, Leptrone, D, Shands, Jr, J W
Format Journal Article
LanguageEnglish
Published United States 01.07.1987
Subjects
Cerebrospinal Fluid - parasitology
Female
Humans
Leukocyte Count
Meningitis - drug therapy
Meningitis - etiology
Middle Aged
Neutrophils
Strongyloides - isolation & purification
Strongyloidiasis - drug therapy
Suppuration
Thiabendazole - therapeutic use
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Summary:Acute pyogenic meningitis occurred in a 46-year-old woman receiving long-term steroid therapy. Cultures for bacteria and fungi were negative, and the meningitis failed to respond to broad spectrum antibiotics. Abundant Strongyloides stercoralis larvae were found in the patient's feces a sputum, and a filariform larva was found in a hanging drop preparation from centrifuged cerebrospinal fluid. Therapy with thiabendazole eradicated the Strongyloides from feces and sputum. The abnormal CSF values returned toward normal, and the patient has had no recurrence of illness.
ISSN:0038-4348
DOI:10.1097/00007611-198707000-00029