Vancomycin-Resistant Enterococcal Meningitis, Disseminated Strongyloidiasis, and Hypogammaglobulinemia. Issue 6 (November 2017)

• Record Type: Journal Article
• Authors: Uyemura, Trevor M.; Siegel, Marc O.; Lucar, Jose; Simon, Gary L.
• Is Part Of: Infectious diseases in clinical practice. Volume 25:Issue 6(2017:Nov.)
• Publication Date: 2017-11
• Subjects: disseminated strongyloidiasis -- hypogammaglobulinemia -- VRE meningitis; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Periodicals; Electronic journals; 616.9
• DOI: 10.1097/IPC.0000000000000500
• Languages: English
• ISSNs: 1056-9103

Abstract

Abstract : Abstract: The role of immunoglobulins in control of strongyloidiasis has not been well appreciated. This case of disseminated strongyloidiasis with vancomycin-resistant Enterococcus faecium meningitis illustrates the critical role of immunoglobulins in preventing the Strongyloides hyperinfection syndrome. Abstract : Disseminated stronyloidiasis infection is usually associated with concommitant steroid therapy or HTLV-1 infection. The role of immunoglobulins in preventing this condition has not been well-recognized. The diagnosis may be missed in patients who lack the traditional risk factors. The important role of immunoglobulins in this condition help to explain why HIV is not a major risk factor for disseminated strongyloidiasis since HIV is primarily a cell-mediated immune deficiency and not a humoral deficiency.