Indian Journal of Pathology and Microbiology
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Year : 2015  |  Volume : 58  |  Issue : 4  |  Page : 500-505

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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0377-4929.168871

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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.

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