A 60 year old man who emigrated from rural Cambodia years ago is started on high dose prednisone for severe asthma. One month later he develops abdominal pain, cough, fever, and gram negative bacteremia. Stool microscopy reveals larvae rather than eggs. Which of the following is the most likely causal organism?
- A)Trichinella spiralis
- B)Strongyloides stercoralisGABARITO
- C)Echinococcus granulosus
- D)Giardia lamblia
- E)Ascaris lumbricoides
Explicação
Strongyloides stercoralis is correct. Strongyloides can persist through autoinfection for decades and cause life threatening hyperinfection after glucocorticoid therapy. Larvae in stool and secondary bacteremia are classic manifestations. Ver explicação completa e trilha adaptativa →