Volume 26, Number 3—March 2020
CME ACTIVITY - Synopsis
Clinical Characteristics of Disseminated Strongyloidiasis, Japan, 1975–2017
Mitsuru Mukaigawara
, Masashi Narita, Soichi Shiiki, Yoshihiro Takayama, Shunichi Takakura, and Tomokazu Kishaba
, Masashi Narita, Soichi Shiiki, Yoshihiro Takayama, Shunichi Takakura, and Tomokazu Kishaba
Table 1
Demographic characteristics of patients with disseminated strongyloidiasis, Okinawa Chubu Hospital, Uruma, Japan, 1975–2017*
| Characteristic | All patients |
Dissemination |
Occult dissemination with meningitis/enteric organisms |
Occult dissemination with culture-negative suppurative meningitis |
||||
|---|---|---|---|---|---|---|---|---|
| No. patients |
70/70 (100) |
32/70 (45.7) |
12/70 (17.1) |
26/70 (37.1) |
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| Sex | ||||||||
| M | 42 (60) | 19 (59.4) | 6 (50) | 17 (65.3) | ||||
| F |
28 (40) |
13 (40.6) |
6 (50) |
9 (34.7) |
||||
| Median age, y (range) |
61 (21–96) |
67 (25–96) |
47 (21–84) |
57 (38–92) |
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| Immunocompromised status | ||||||||
| HTLV-1 infection† | 36/40 (90.0) | 17/20 (85.0) | 8/9 (88.9) | 11/11 (100) | ||||
| Steroid use | 6 (8.6) | 5 (15.6) | 1 (8.3) | 0 (0) | ||||
| Solid organ malignancy | 6 (8.6) | 4 (12.5) | 2 (16.7) | 0 (0) | ||||
| Diabetes mellitus | 4 (5.7) | 4 (12.5) | 0 (0) | 0 (0) | ||||
| Cirrhosis |
2 (2.9) |
2 (6.3) |
0 (0) |
0 (0) |
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| Death | 23 (32.9) |
18 (56.3) |
2 (16.7) |
3 (11.5) |
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*Values are no. (%) unless indicated. HTLV-1, human T-cell lymphotrophic virus type 1.
†Serologic test for HTLV-1 infection was not available until the 1980s.
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Page updated: February 19, 2020
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