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Volume 11
Issue 1
10.18683/germs.2021.1248
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Case Report

The Autochthonous Cases of Acute Strongyloidiasis in the Moscow Region

by
Alexandr M. Bronstein
1,2,*,
Alexandr N. Lukashev
1,
Maria S. Maximova
1 and
Tatiana V. Sacharova
1
1
Martsinovsky Institute of Medical Parasitology, Tropical and Vector Borne Diseases, Sechenov University, 119435 Moscow, Russia
2
Department of Infectious Diseases and Epidemiology, Pigorov Russian National Research Medical University, 119121 Moscow, Russia
*
Author to whom correspondence should be addressed.
GERMS 2021, 11(1), 116-119; https://doi.org/10.18683/germs.2021.1248
Submission received: 7 September 2020 / Revised: 21 January 2021 / Accepted: 14 February 2021 / Published: 15 March 2021
Versions Notes

Abstract

Introduction: At present, strongyloidiasis is considered by the World Health Organizaiton (WHO) as one of the most neglected diseases. Case report: A husband and a wife, both born in the Moscow region and never having traveled, initially presented with fever and unexplained peripheral eosinophilia. Parasitological examination revealed Strongyloides stercoralis in feces samples. Helminth infection was strongly associated with poor sanitary conditions. While albendazole was ineffective, after the treatment with ivermectin, both patients were asymptomatic, their ELISA tests were negative, and no larvae of S. stercoralis were found in the feces. Conclusions: We concluded that patients with unexplained eosinophilia must be checked for the presence of parasites before steroid or immunosuppressive therapy. These patients, if infected, may develop the highly fatal hyperinfective syndrome. The cases reported here raise concern about possible hidden strongyloidiasis in the Moscow region and re-emergence of this infection in this and other temperate regions in Russia.
Keywords: Strongyloides stercoralis; ivermectin; albendazole; Moscow region; strongyloidiasis Strongyloides stercoralis; ivermectin; albendazole; Moscow region; strongyloidiasis

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MDPI and ACS Style

Bronstein, A.M.; Lukashev, A.N.; Maximova, M.S.; Sacharova, T.V. The Autochthonous Cases of Acute Strongyloidiasis in the Moscow Region. GERMS 2021, 11, 116-119. https://doi.org/10.18683/germs.2021.1248

AMA Style

Bronstein AM, Lukashev AN, Maximova MS, Sacharova TV. The Autochthonous Cases of Acute Strongyloidiasis in the Moscow Region. GERMS. 2021; 11(1):116-119. https://doi.org/10.18683/germs.2021.1248

Chicago/Turabian Style

Bronstein, Alexandr M., Alexandr N. Lukashev, Maria S. Maximova, and Tatiana V. Sacharova. 2021. "The Autochthonous Cases of Acute Strongyloidiasis in the Moscow Region" GERMS 11, no. 1: 116-119. https://doi.org/10.18683/germs.2021.1248

APA Style

Bronstein, A. M., Lukashev, A. N., Maximova, M. S., & Sacharova, T. V. (2021). The Autochthonous Cases of Acute Strongyloidiasis in the Moscow Region. GERMS, 11(1), 116-119. https://doi.org/10.18683/germs.2021.1248

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