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  • Title: Fatal relapse of disseminated strongyloidiasis in an HIV-positive patient, despite ivermectin treatment.
    Author: Mattioni S, Valin N, Cracco C, Thellier M, Danis M, Caumes E.
    Journal: Ann Trop Med Parasitol; 2008 Dec; 102(8):693-8. PubMed ID: 19000386.
    Abstract:
    There are no established guidelines for the treatment of disseminated strongyloidiasis in immunosuppressed patients, and many different treatment regimens have been used. Here, the case of a 48-year-old, HIV-positive, Congolese man, who was hospitalized for disseminated tuberculosis but developed life-threatening disseminated strongyloidiasis, is described. This patient died, with relapsing disseminated strongyloidiasis, 3 months after being treated with ivermectin. The reasons for this poor outcome and the various treatment options for strongyloidiasis in HIV-infected patients are discussed.
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