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Enterococcal meningitis in association with Strongyloides hyperinfection syndrome

Kalpesh S Sukhwani1, Nitin Bansal2, Mamta Soni3

  • 1MD, DNB, Fellow, Institute of Infectious Diseases, Department of Infectious Diseases, Apollo Hospitals, Greams Lane, Off Greams Road, Chennai, 600006, Tamil Nadu, India.

Germs
|March 24, 2017
PubMed
Abstract

Insights

Strongyloidiasis hyperinfection syndrome is crucial to suspect in patients with enterococcal meningitis. Early suspicion aids in managing this severe complication, particularly in immunocompromised individuals.

Area of Science:

  • Infectious Diseases
  • Clinical Medicine
  • Parasitology

Background:

  • Strongyloidiasis is a parasitic infection that can lead to severe hyperinfection or disseminated disease in immunocompromised individuals.
  • Enterococcal bacteremia and meningitis are serious infections, and Strongyloides is an identified risk factor.
  • Recognizing the link between Strongyloides and enterococcal infections is vital for patient outcomes.

Observation:

  • Two cases are presented where patients developed enterococcal meningitis.
  • These cases underscore the potential for Strongyloides hyperinfection syndrome in this clinical context.
  • The patients' conditions highlight the need for heightened clinical suspicion.

Findings:

  • The presented cases emphasize the importance of considering Strongyloides hyperinfection syndrome.
  • This syndrome should be suspected in patients with community-acquired enterococcal bacteremia and meningitis.
  • Prompt diagnosis and management of Strongyloides are critical.

Implications:

  • Suspecting Strongyloides hyperinfection syndrome can lead to earlier diagnosis and treatment.
  • This can improve patient outcomes in cases of enterococcal meningitis.
  • Clinicians should maintain a high index of suspicion for Strongyloides in at-risk populations.
Keywords:
Strongyloides hyperinfection syndromeenterococcal bacteremiaenterococcal meningitis

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