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Severe Anemia and Lung Nodule in an Immunocompetent Adopted Girl with Strongyloides stercoralis Infection

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  • 1 Centre for Tropical Diseases, Ospedale Sacro Cuore Don Calabria, Negrar, Verona, Italy.
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Strongyloides stercoralis is a soil-transmitted helminth widely diffused in tropical areas. Chronic infection is usually characterized by absent or mild symptoms, but immunocompromised subjects are at risk of developing a severe syndrome that can be fatal if not promptly treated. We report a case of S. stercoralis infection causing severe anemia (hemoglobin 4.9 g/dL) and a lung nodule in a 14-year-old girl of Ethiopian origin adopted by an Italian couple. Severe anemia due to strongyloidiasis has been rarely reported, and mostly in severely ill patients, whereas our patient was immunocompetent and in good general conditions. Also, lung nodules have been only occasionally described in absence of respiratory symptoms. We discuss the management of patients with these findings, and we suggest to update the screening of immigrants from countries endemic for strongyloidiasis, including serology.

Author Notes

* Address correspondence to Dora Buonfrate, Centre for Tropical Diseases, Ospedale Sacro Cuore Don Calabria, Via Sempreboni 5, 37024 Negrar, Verona, Italy. E-mail: dora.buonfrate@sacrocuore.it

Authors' addresses: Dora Buonfrate, Federico Gobbi, Anna Beltrame, and Zeno Bisoffi, Centre for Tropical Diseases, Ospedale Sacro Cuore Don Calabria, Negrar, Veneto, Italy, E-mails: dora.buonfrate@sacrocuore.it, federico.gobbi@sacrocuore.it, anna.beltrame@sacrocuore.it, and zeno.bisoffi@sacrocuore.it.

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