Meningitis associated with strongyloidiasis in an area endemic for strongyloidiasis and human T-lymphotropic virus-1: a single-center experience in Japan between 1990 and 2010Report as inadecuate




Meningitis associated with strongyloidiasis in an area endemic for strongyloidiasis and human T-lymphotropic virus-1: a single-center experience in Japan between 1990 and 2010 - Download this document for free, or read online. Document in PDF available to download.

Infection

, Volume 41, Issue 6, pp 1189–1193

First Online: 13 June 2013Received: 18 March 2013Accepted: 22 May 2013

Abstract

Meningitis caused by enteric flora is a known complication of strongyloidiasis, and human T-lymphotropic virus-1 HTLV-1 predisposes individuals to severe strongyloidiasis. We reviewed the clinical features of bacterial meningitis associated with strongyloidiasis seen at a single center in subtropical Japan, in an area endemic for both strongyloidiasis and HTLV-1. We found 33 episodes in 21 patients between 1990 and 2010. The results were remarkable for the high incidence of meningitis due to Gram-positive cocci 27.3 %, especially Streptococcus bovis, and culture-negative cases 42.4 %. Given the high incidence of Gram-positive meningitis, a modified approach to corticosteroid use would be advisable in areas where strongyloidiasis is endemic, due to the potentially adverse consequences of glucocorticoid therapy.

KeywordsStrongyloidiasis Streptococcus bovis Meningitis Culture-negative meningitis Human T-lymphotropic virus-1  Download fulltext PDF



Author: Y. Sasaki - T. Taniguchi - M. Kinjo - R. L. McGill - A. T. McGill - S. Tsuha - S. Shiiki

Source: https://link.springer.com/



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