Case Report: Disseminated Strongyloidiasis in a Patient with COVID-19

Am J Trop Med Hyg. 2020 Oct;103(4):1590-1592. doi: 10.4269/ajtmh.20-0699.

Abstract

The SARS-CoV-2 virus has emerged and rapidly evolved into a current global pandemic. Although bacterial and fungal coinfections have been associated with COVID-19, little is known about parasitic infection. We report a case of a COVID-19 patient who developed disseminated strongyloidiasis following treatment with high-dose corticosteroids and tocilizumab. Screening for Strongyloides infection should be pursued in individuals with COVID-19 who originate from endemic regions before initiating immunosuppressive therapy.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Aged
  • Animals
  • Anthelmintics / therapeutic use
  • Antibodies, Monoclonal, Humanized / administration & dosage
  • Betacoronavirus / pathogenicity
  • COVID-19
  • Coinfection
  • Connecticut
  • Coronavirus Infections / drug therapy
  • Coronavirus Infections / immunology
  • Coronavirus Infections / parasitology*
  • Coronavirus Infections / virology
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / immunology
  • Diabetes Mellitus / parasitology*
  • Diabetes Mellitus / virology
  • Ecuador
  • Humans
  • Hypertension / drug therapy
  • Hypertension / immunology
  • Hypertension / parasitology*
  • Hypertension / virology
  • Immunologic Factors / administration & dosage
  • Male
  • Pandemics
  • Peripheral Nervous System Diseases / drug therapy
  • Peripheral Nervous System Diseases / immunology
  • Peripheral Nervous System Diseases / parasitology*
  • Peripheral Nervous System Diseases / virology
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / immunology
  • Pneumonia, Viral / parasitology*
  • Pneumonia, Viral / virology
  • SARS-CoV-2
  • Strongyloides stercoralis / pathogenicity*
  • Strongyloidiasis / drug therapy
  • Strongyloidiasis / immunology
  • Strongyloidiasis / parasitology*
  • Strongyloidiasis / virology

Substances

  • Adrenal Cortex Hormones
  • Anthelmintics
  • Antibodies, Monoclonal, Humanized
  • Immunologic Factors
  • tocilizumab