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Am. J. Trop. Med. Hyg., 72(2), 2005, pp. 124-125
Copyright © 2005 by The American Society of Tropical Medicine and Hygiene

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ATYPICAL CLINICAL PRESENTATION OF STRONGYLOIDIASIS IN A PATIENT CO-INFECTED WITH HUMAN T CELL LYMPHOTROPHIC VIRUS TYPE I

MARIA AURÉLIA F. PORTO, LÊDA M. ALCÂNTARA, MARCELO LEAL, NÉVITON CASTRO, AND EDGAR M. CARVALHO
Serviço de Imunologia, Hospital Universitario Professor Edgard Santos, e Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil

Alterations in the immunologic response induced by human T cell lymphotrophic virus type I (HTLV-I) predispose the development of disseminated strongyloidiasis. We report a case of an atypical clinical presentation of strongyloidiasis in a patient co-infected with HTLV-I causing scrotal and perineal pain and infertility. Strongyloides stercoralis was found in the analysis of the sperm and specific therapy for strongyloidiasis was associated with disappearance of the symptoms.

Received January 27, 2004. Accepted for publication October 19, 2004.

Financial support: This work was supported by the Brazilian National Research Council (CNPq) and Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB). Edgar M. Carvalho is a senior investigator of CNPq.

Authors’ addresses: Maria Aurélia F. Porto, Néviton Castro, and Edgar M. Carvalho, Serviço de Imunologia, Hospital Universitario Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Bahia, Brazil. Lêda M. Alcântara and Marcelo Leal, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil.

Reprint requests: Edgar M. Carvalho, Serviço de Imunologia, Hospital Universitário Professor Edgard Santos, 5° andar, Rua João das Botas, s/n Canela 40110-160, Salvador, Bahia, Brazil, Telephone: 55-71-237-7353, Fax: 55-71-245-7110, E-mail: edgar{at}ufba.br.






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Copyright © 2005 by the American Society of Tropical Medicine and Hygiene.