Indian Journal of Pathology and Microbiology

CLINICO-PATHOLOGY CONFERENCE
Year
: 2015  |  Volume : 58  |  Issue : 4  |  Page : 500--505

A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia


Deepti Mutreja1, Kartik Sivasami2, Vanmalini Tewari1, Bhaskar Nandi2, G Lakhsmi Nair1, Sunita D Patil1 
1 Department of Pathology, Command Hospital (Air Force), Bengaluru, Karnataka, India
2 Department of Medicine, Command Hospital (Air Force), Bengaluru, Karnataka, India

Correspondence Address:
Dr. Deepti Mutreja
Department of Pathology, Command Hospital (Air Force), Bengaluru - 560 007, Karnataka
India

Diagnosis of Strongyloides stercoralis hyperinfection can be a challenge. The key to a timely diagnosis is to have a high index of suspicion. We present a rare case of a 36-year-old human immunodeficiency virus negative male patient, who was on multidrug therapy for lepromatous leprosy and was treated for type 2 lepra reactions with steroids in the past. The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia. He had features of malnutrition and had a rapid downhill course following admission. A diagnosis of S. stercoralis hyperinfection with sepsis and multiorgan failure, adrenal hemorrhage, and syndrome of inappropriate antidiuretic hormone secretion was established on a postmortem examination.


How to cite this article:
Mutreja D, Sivasami K, Tewari V, Nandi B, Nair G L, Patil SD. A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia.Indian J Pathol Microbiol 2015;58:500-505


How to cite this URL:
Mutreja D, Sivasami K, Tewari V, Nandi B, Nair G L, Patil SD. A 36-year-old man with vomiting, pain abdomen, significant weight loss, hyponatremia, and hypoglycemia. Indian J Pathol Microbiol [serial online] 2015 [cited 2019 Aug 20 ];58:500-505
Available from: http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=4;spage=500;epage=505;aulast=Mutreja;type=0