Dexamethasone
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Infections and associated toxicities: case report A 47-year-old woman developed Strongyloides hyperinfection syndrome and cutaneous dissemination approximately one month following treatment with oral dexamethasone [dosage not stated] to decrease an intracranial pressure caused by a large right sphenoid wing meningioma. The diagnosis of Strongyloides hyperinfection syndrome and cutaneous dissemination was made following the detection of numerous Strongyloides larvae from the skin biopsy, sputum and stool samples. She died on day 13 of admission due to candidal septicaemia, pneumonia with acute respiratory distress syndrome and septic shock, despite an early diagnosis and an unspecified treatment. Author comment: "Strongyloidiasis is a nematode infection caused by Strongyloides stercoralis". "It can result in hyperinfection syndrome and dissemination associated with high morbidity and mortality especially in the immunosuppressed patients caused by corticosteroid." Suthiwartnarueput W, et al. Strongyloides hyperinfection syndrome and cutaneous dissemination in a patient with sphenoid wing meningioma. American Journal of Dermatopathology 41: e128 (plus poster), No. 10, Oct 2019. Available from: URL: 803432928 http://doi.org/10.1097/DAD.0000000000001429 [abstract] - Thailand
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Reactions 9 Nov 2019 No. 1778
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