Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease

A 58 years old male who was admitted to the intensive care unit for septic shock secondary to pneumonia, he has Crohn's disease currently treated with Vedolizumab and previously with infliximab. He was started on broad spectrum antibiotics and vasopressors for treatment of septic shock without...

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Autores principales: Abdalla, Mohammed, Sinyagovskiy, Pavel, Mohamed, Wiam, Abdelghani, Amro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010665/
https://www.ncbi.nlm.nih.gov/pubmed/29977759
http://dx.doi.org/10.1016/j.rmcr.2018.04.003
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author Abdalla, Mohammed
Sinyagovskiy, Pavel
Mohamed, Wiam
Abdelghani, Amro
author_facet Abdalla, Mohammed
Sinyagovskiy, Pavel
Mohamed, Wiam
Abdelghani, Amro
author_sort Abdalla, Mohammed
collection PubMed
description A 58 years old male who was admitted to the intensive care unit for septic shock secondary to pneumonia, he has Crohn's disease currently treated with Vedolizumab and previously with infliximab. He was started on broad spectrum antibiotics and vasopressors for treatment of septic shock without improvement in the following days, sputum & blood cultures were negative. Bronchoscopy was done for non-resolving pneumonia work up, broncheoalveolar lavage smears and cultures were negative for bacteria, tuberculosis and Fungi. Bronchial washings cytology showed filariform larvae and serology was positive for Strongyloides, He was started on ivermectin and his condition improved significantly.
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spelling pubmed-60106652018-07-05 Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease Abdalla, Mohammed Sinyagovskiy, Pavel Mohamed, Wiam Abdelghani, Amro Respir Med Case Rep Case Report A 58 years old male who was admitted to the intensive care unit for septic shock secondary to pneumonia, he has Crohn's disease currently treated with Vedolizumab and previously with infliximab. He was started on broad spectrum antibiotics and vasopressors for treatment of septic shock without improvement in the following days, sputum & blood cultures were negative. Bronchoscopy was done for non-resolving pneumonia work up, broncheoalveolar lavage smears and cultures were negative for bacteria, tuberculosis and Fungi. Bronchial washings cytology showed filariform larvae and serology was positive for Strongyloides, He was started on ivermectin and his condition improved significantly. Elsevier 2018-04-06 /pmc/articles/PMC6010665/ /pubmed/29977759 http://dx.doi.org/10.1016/j.rmcr.2018.04.003 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Abdalla, Mohammed
Sinyagovskiy, Pavel
Mohamed, Wiam
Abdelghani, Amro
Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title_full Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title_fullStr Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title_full_unstemmed Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title_short Pulmonary strongyloidiasis causing septic shock in a patient with Crohn's disease
title_sort pulmonary strongyloidiasis causing septic shock in a patient with crohn's disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010665/
https://www.ncbi.nlm.nih.gov/pubmed/29977759
http://dx.doi.org/10.1016/j.rmcr.2018.04.003
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AT mohamedwiam pulmonarystrongyloidiasiscausingsepticshockinapatientwithcrohnsdisease
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