The Study of Acute Respiratory Distress Syndrome due to Strongyloides stercoralis in Lupus Nephritis

Strongyloides stercoralis is an intestinal helminth that spreads through the skin and is found in tropical and subtropical rural areas. The pulmonary disease produced by the parasite is most usually asymptomatic to mild disease in immunocompetent patients, but it can be life-threatening in immunocompromised subjects. Steroids and Cyclophosphamide were used to treat a twenty-one-year-old man with class IV lupus nephritis. He reported with the following symptoms after 1.5 months of therapy: diarrhoea, stomach discomfort, and dyspnea quickly progressed to acute respiratory distress syndrome (ARDS), which necessitated ventilation. Strongyloides stercoralis was found in bronchoalveolar lavage (BAL). With satisfactory results, he was treated with IV antibiotics, Ivermectin, and Albendazole. The authors summarise a case of strongyloidiasis hyper infection syndrome in immunocompromised patients and explore the many elements of Strongyloides stercoralis infection in this article. The parasite’s life cycle and treatment options are highlighted. In endemic locations, corticosteroid administration can result in the development of Strongyloides hyper-infection syndrome. To save lives, early detection, diagnosis, and treatment of Strongyloidiasis are required.


Author(s) Details

Dr. Umapati Hegde
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.


Dr. Hardik Patel
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.


Dr. Vipul Chakurkar
Department of Nephrology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.


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