Abstract
Generalized infestation by Strongyloides stercoralis was described in two children suffering from severe malnutrition. Autopsy revealed marked atrophy of the thymus and peripheric thymus-dependent lymphoid organs as well as the presence of larva e and adult females in the intestinal mucosa and lumen. Larvae were also found in sections of the peritoneum, lymph nodes, lung, liver, spleen and pancreas.
References
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2. BRAS, G.; RICHARDS, R. C.; IRVINE, R. A. & MILNER, P. F. A. - Infection with Strongyloides etercoralis in Jamaica. Lancet, 2: 1257-60, 1964.
3. CAMILO-COURA. L. - Contribuição ao estudo das geohelmintíases. Rio de Janeiro, RJ, 1970. [Tese - Faculdade de Medicina da Universidade Federal do Rio de Janeiro]
4. CARDOSO, R. A. - Estrongiloidíase na infãncia. Estudo anátomo-patológico de cinco casos. J. Pediat., Rio de Janeiro, 24: 383-417, 1959.
5. CHAIA, G. - Epidemiologia da estrongiloidíase. Apud REY, L. - Parasitologia. Rio de Janeiro, Guanabara-Koogan, 1972.
6. CIVANTOS, F. & ROBINSON, M. J. Fatal strongyloidiasis following corticosteroid therapy. Am. J. dig. Dis. 14: 643-8, 1969.
7. COOKSON, J. B.; MONTGOMERY, R. D.; MORGAN, H. V. & TUDOR, R. W. Fatal paralytic ileus due to strongyloídiasís. Br. med. J., 4: 771-2, 1972.
8. CRUZ, R., REBOUÇAS, G. & ROCHA, H. Fatal strongyloidiasis in patients receiving corticosteroids. N. Engl. J. Med., 275: 1093-6, 1966.
9. FAULK, W. P.; PAES, R. A. P.; & MARIGO. C. - The immunological system in health and malnutrition. Proc. nutr. Soc., 35: 253-61, 1976.
10. HUCHTON, F. & HORN, R. - Strongyloidiasis. J. Pediat., 55: 602-8, 1959.
11. MC FARLANE, H. - Malnutrition and rmpaired immune response to infection. Proc. Nutr. Soc., 35: 263-72, 1976.
12. NARAYANAN, L. B.; NATH, I.; BHUYAN, U. N. & TALWAR, G. P. - Depression of T-cell function and normality of B-cell response in protein-calorie malnutrition. Immunology, 32: 345-50, 1977.
13. OLUSI, S. O. & MC FARLANE, H. Effects of early protein-calorie malnutrition on the immune response. Pediatr. Res., 10: 707-12, 1976.
14. PURTILLO, D. T.; MEYERS, W. M. & CONNOR, D. H. - Fatal strongyloidiasis in immunosuppressed patients. Am. J. Med., 56: 488-93,1974.
15. RASSIGA, A. L.; LOWRY, J. L. & FORMAN, W. B. - Diffuse pulmonary infection due to Strongyloides stercoralis. J. Am. med. Ass., 230: 436-7, 1974.
16. RIVERA, E.; MALDONADO, N.; VELÉZGARCIA, E.; GRILLO, A. J. & MALARET, G. - Hyperinfection syndrome with Strongyloides stercoralis. Ann. interno Med. 72: 199-204, 1970.
17. SMYTHE, P. M.; SCHONLAND, M.; BRENTON-STILES, G. G.; COOVADIA, H. M.; GRACE, H. J.; LOENING, W. E. K.; MAPOYANE, A.; PARENT, M. A. & VOS, G. H. - Thymolymphatic deficiency and depression of cell-medíated immunity in protein-calorie malnutrition. Lancet, 2: 939-44, 1971.
18. VELLONI, M.; TOLOSA, E. M. C. & FRANÇA, L. C. M. - Estrongiloidíase humana: análise de 30 casos necropsiados (2. a
parte). Rev. méd. IAMSPE, 7: 3-14, 1976.
19. WARREN, K. S.; DOMINGO, E. O. & COWAN, R. B. T. - Granuloma formation around schistosoma eggs as a manifestation of delayed hypersensitivy. Am. J. Path., 51: 735-42, 1967.
20. WATTS, T. Thymus weights in malnourished children. J. trop. Pediat., 15: 155-8, 1969.
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