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Vol. 5. Issue 1.
Pages 91-98 (January - February 1999)
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Vol. 5. Issue 1.
Pages 91-98 (January - February 1999)
CASO CLÍNICO/CLINICAL CASE
Open Access
Diagnóstico da estrongiloidíase num exame de rotina da expectoração com coloração pela técnica de Ziehi-Neelsen
Diagnosis of strongyloidiasis in a routine Ziehl-Neelsen-stained sputum examination
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Teresa Pacheco1, Luisa Oliveira2, Mariana Viana3, Fátima Rodrigues4, Alexandra Gil5, José Pinto da Rocha6, Margarida Cancela de Abreu7
1 Assistente Hospitalar de Patologia Clinica, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
2 Assistente Eventual de Pneumologia, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
3 Assistente Eventual de Patalogia Clinica, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
4 Assistente Hospitalar de Pneumologia, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
5 Assistente Eventual de Patologia Clinica, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
6 Assistente Hospitalar Graduado de Pneumologia, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
7 Chefe de Serviço de Pneumologia, Directora do Serviço de Pneumologia, Laboratório de Microbiologia (Director: Dr. Andersen Fernandes) e Serviço de Pneumologia (Directora: Dra. Margarida Cancela de Abreu). Hospital de Egas Moniz. Lisboa.
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RESUMO

Os autores apresentam om caso de infecção por Strongyloides stercoralis noma doente imunocompetente, detectado no decurso de avaliação microbiológica da expectoração para diagnóstico etiológico de hemoptises.

A observação de esfregaços de expectoração corados pela técnica de Ziehl-Neelsen, revelou larvas rhabditóides, resistentes à desco’oração pelo ácido­álcool (seguidamente confirmadas noma preparação a fresco da mesma amostra), permitindo a identificação do agente causal provavel. É apontada a atitude terapêutica necessária a resolução do quadro clínico.

REV PORT PNEUMOL 1999; V (1): 91-98

Palavras-chave:
Helmintíase
Expectoração
ácido­resistência
ABSTRACT

The authors present a case of Strongyloides stercoralis infection in an immunocompetent patient, detected during microbiological study of sputum for diagnostic work-up of haemoptysis.

The observation of Ziehl-Neelsen-stained sputum smears revealed rhabditiform alcohol-acid fast larvae (further confirmed in a wet mount of the same sample), permitting the identification of the probable etiological agent. The therapeutic attitude necessary to the resolution of the clinical picture is pointed out.

REV PORT PNEUMOL 1999; V (1): 91-98

Key-words:
Helminthiasis
Sputum
acid-fast
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BIBLIOGRAFIA
[1.]
D.L. Grove.
Strongyloidiasis.
Tropical and Geographical Medicine, pp. 393
[2.]
V. Sprott, C.D. Selby, P. Ispahani, P.J. Toghill.
indigenous strongyloidiasis in Notthingham.
Br Med J, 294 (1987), pp. 741-742
[3.]
R.M. Genta.
Global prevalence of strongyloidiasis: critical review with epidemiological insights into the prevention of disseminated disease.
Rev Infect Dis., 11 (1989), pp. 755-767
[4.]
L.I. Pelletier Jr..
Chronic strongyloidiasis in World War II Far East ex-prisoners of war.
Am J Trop Med Hyg., 33 (1984), pp. 55-61
[5.]
O.M. Takayangani, M.M. Lofrano, M.B.M. Araujo, L. Chimelli.
Detection of Strongyloides stercoralis in the cerebrospinal fluid of a patient with acquired immune deficiency syndrome.
Neurology, 45 (1995), pp. 193-194
[6.]
Y. Ingra-Siegman, R. Kapila, P. Sen, Z.C. Kaminski, D.B. Louiua.
Syndrome of hyperinfection with Strongyloides stercoralis.
Rev infect Dis., 3 (1981), pp. 397-407
[7.]
J.C. Celedon, U. Mathur-Wagh, J. Fox, R. Garcia, P.M. Wiest.
Sistemic strongyloidiasis in patients infected with the human immunodeficiency virus - A report of 38 cases and review of the literature.
Medicine., 73 (1994), pp. 256-263
[8.]
R.C. Newton, P. Limpuangthip, S. Greenberg, A. Gam, F.A. Neva.
Strongyloides stercoralis hyperinfection in a carrier of HTLV-I virus with evidence of selective immunosupression.
Am J Med., 92 (1982), pp. 202-208
[9.]
B.D. Bhatt, M.S. Cappell, P.C. Smilow, K.M. Das.
Recurrent massive upper gastrointestinal hemorrhage due to Strongyloides stercoralis infection.
Am J Gastroenterology., 85 (1990), pp. 1034-1036
[10.]
M.R. Kramer, P.A. Gregg, M. Goldstein, R. Llamas, B.P. Krieger.
Disseminated strongyloidiasis in AIDS and non-AIDS immunocompromised hosts: diagnosis by sputum and bronchoalveolar lavage.
South Med J., 83 (1990), pp. 1226-1229
[11.]
V.A. Neto, J. Pasternak, A.A. Moreira, M.I. Duarte, R. Campos, L.M. Braz.
Strongyloides stercoralis hyperinfection in the Acquired immunodeficiency Syndrome (letter).
Am J Med., 87 (1989), pp. 602-603
[12.]
J.C. Petithory, F. Derouin.
AIDS and strongyloidiasis in Africa (Letter).
Lancet., 1 (1987), pp. 921
[13.]
P. Piot, T.C. Quinn, H. Taelman, et al.
Acquired immunodeficiency Syndrome in a heterosexual population in Zaire.
[14.]
M. Kenney, C.A. Webber.
Diagnosis of strongyloidiasis in Papanicolau-staincd sputum smears.
Acta Cytol., 18 (1974), pp. 270-273
[15.]
S.M.A. Yassin, M. Garret.
Parasites in cytodiagnosis: a case report of Strongyloides stercoralis in Papanicolau smears of gastric aspirate, with a review of the literature.
Acta Cytol., 24 (1980), pp. 539-544
[16.]
J. Bailanger.
Coprologie parositaire et fonctionelle.
Arrcahon, Bordeaux., 324 (1982),
[17.]
R. Sarangarajan, A.H. Belmonte, V. Tchertkoff.
Strongyloides stercoralis hyperinfection diagnosed by gastric cytology in an AIDS patient.
AIDS, 11 (1997), pp. 394-396
[18.]
J.N. Harcourt-Webster, F. Scaravilli, A.H. Darwish.
Strongyloides stercoralis hyperinfection in an HIV-positive patient.
J Clin Pathol., 44 (1991), pp. 346-348
[19.]
T. Wang, C.V. Reyes, S. Kathuria, C. Strinden.
Diagnosis of Strongyloides stercoralis in sputum cytology.
Acta Cytol., 24 (1980), pp. 40-43
[20.]
L.G. Koss.
Autoinfection with Strongyloides stercoralis (larva in sputum): Adventures in cytology,
[21.]
S.F. Patten.
Diagnostic cytology seminar: Sputum.
Acta Cytol., 20 (1976), pp. 426-428
[22.]
B. Smith, A. Verghese, C. Gutierrez, W. Dralle, S.L. Berk.
Pulmonary strongyloidiasis- Diagnosis by sputum Gran stain.
Am J Med, 79 (1985), pp. 663-666
[23.]
O. Armignacco, A. Capecci, P. De Mori, L.R. Grillo.
Strongyloides stercoralis hyperinfection and the Acquired Immunodeficiency Syndrome (letter).
Am J Med., 86 (1989), pp. 258
[24.]
S. Maayen, G.P. Wormser, J. Wildenhorn, E.R. Sy, Y.H. Kim, J.A. Ernst.
Strongyloides stercoralis hyperinfection in a patient with acquired immune deficiency syndrome.
Am J Med., 83 (1987), pp. 945-948
[25.]
L. Schainberg, M.A. Scheinberg.
Recovery of Strongyloides stercoralis by bronchoalveolar lavage in a patient with acquired immune deficiency syndrome (letter).
Am J Med., 87 (1989), pp. 486
[26.]
J. Willlams, D. Nunley, W. Dralle, S.I. Berk, A. Verghese.
Diagnosis of pulmonary strongyloidiasis by bronchoalveolar lavage.
Chest., 94 (1988), pp. 643-644
[27.]
M.A. Avagnina, B. Eisner, R.M. Lotti, R. Re.
Strongyloides stercoralis in Pap’s smear of ascitic fluid.
Acta Cytol., 24 (1980), pp. 36-39
[28.]
D.A. Murthy, U.K. Luthra, K. Sehgal, P. Sodhani.
Cytologic Detection of Strongyloides stercoralis in a routine cervicovaginal smear – A case report.
Acta Cytol., 38 (1994), pp. 223-225
[29.]
J.P. Dutcher, S.L. Marcus, H.B. Tanowitz, M. Witter, J.S. Fuks, P.H. Wiernik.
Disseminated strongyloidiasis with central nervous system infection diagnosed antemortem in a patient with Acquired Immune Deficiency Syndrome and Burkitt’s lymphoma.
Cancer., 66 (1990), pp. 2417-2420

Apresentado no 1°Congresso da Federação Europeia de Medicina Interna. Maastricht, Holanda. 15-18 de Outubro 1997

Copyright © 1999. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
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