A Fatal Case of Strongyloidiasis in Pregnancy

Arin M. Buresch, Nancy E. Judge, Ashlesha K. Dayal, David J. Garry

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Strongyloides stercoralis is a common human parasite worldwide and has been associated with severe infection in immunosuppressed patients. High mortality rates have accompanied this severe disseminated infection. There is a scarcity of literature surrounding severe Strongyloides infection in pregnancy. Case: A 30-year-old primigravid Haitian woman at 25 weeks of gestation presented with acute abdominal pain and an abnormal fetal heart tracing. Mild anemia and eosinophilia were laboratory abnormalities on admission. She received corticosteroids for the fetus and subsequently developed septic shock. Sputum and stool were positive for S stercoralis larvae. Hyperinfection was diagnosed, stillbirth occurred, and the patient died. Conclusion: A more global awareness and education surrounding helminth infection during pregnancy may improve response, reduce delay in diagnosis, and potentially improve outcome.

Original languageEnglish (US)
Pages (from-to)87-89
Number of pages3
JournalObstetrics and Gynecology
Volume126
Issue number1
DOIs
StatePublished - Jul 23 2015

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Strongyloidiasis
Pregnancy
Infection
Strongyloides
Strongyloides stercoralis
Fetal Heart
Stillbirth
Helminths
Acute Pain
Eosinophilia
Septic Shock
Sputum
Abdominal Pain
Larva
Anemia
Adrenal Cortex Hormones
Parasites
Fetus
Education
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

A Fatal Case of Strongyloidiasis in Pregnancy. / Buresch, Arin M.; Judge, Nancy E.; Dayal, Ashlesha K.; Garry, David J.

In: Obstetrics and Gynecology, Vol. 126, No. 1, 23.07.2015, p. 87-89.

Research output: Contribution to journalArticle

Buresch, Arin M. ; Judge, Nancy E. ; Dayal, Ashlesha K. ; Garry, David J. / A Fatal Case of Strongyloidiasis in Pregnancy. In: Obstetrics and Gynecology. 2015 ; Vol. 126, No. 1. pp. 87-89.
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