<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662018000600016</article-id>
<article-id pub-id-type="doi">10.24245/mim.v34i6.1978</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrongiloidiasis diseminada en una paciente con infección por el virus de la inmunodeficiencia humana (VIH)]]></article-title>
<article-title xml:lang="en"><![CDATA[Strongyloidiasis disseminated in a patient with human immunodeficiency virus (HIV) infection.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas-Godoy]]></surname>
<given-names><![CDATA[Alexis Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Izaguirre-González]]></surname>
<given-names><![CDATA[Allan Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maradiaga-Reyes]]></surname>
<given-names><![CDATA[Elvia Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bu-Figueroa]]></surname>
<given-names><![CDATA[Efraín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Aguilar]]></surname>
<given-names><![CDATA[Jorge Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de Honduras Hospital Escuela Universitario ]]></institution>
<addr-line><![CDATA[Tegucigalpa ]]></addr-line>
<country>Honduras</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Escuela Universitario  ]]></institution>
<addr-line><![CDATA[Tegucigalpa ]]></addr-line>
<country>Honduras</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Escuela Universitario  ]]></institution>
<addr-line><![CDATA[Tegucigalpa ]]></addr-line>
<country>Honduras</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Escuela Universitario  ]]></institution>
<addr-line><![CDATA[Tegucigalpa ]]></addr-line>
<country>Honduras</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>6</numero>
<fpage>973</fpage>
<lpage>977</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662018000600016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662018000600016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662018000600016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Strongyloides stercoralis es un parásito perteneciente al grupo de los nemátodos, endémico en regiones rurales de países con clima tropical y subtropical en donde puede afectar entre 30 y 100 millones de personas. Esta infección es comúnmente asintomática y puede permanecer oculta durante décadas, pero los cambios en el sistema inmunitario favorecen la aparición de un síndrome de hiperinfección o infección diseminada, la frecuencia estimada en estadios crónicos es de 1.5 a 2.5%. Se comunica el caso de una paciente de 40 años de edad, con antecedente de VIH/SIDA y tuberculosis pulmonar, quien asistió al servicio de urgencias del Hospital Escuela Universitario, Tegucigalpa, Honduras, con antecedente de evacuaciones diarreicas y dolor abdominal de un mes de evolución, acompañado de vómitos precedido de náuseas, fiebre y pérdida de peso aproximadamente de 12 kg desde el inicio de los síntomas. Los exámenes de laboratorio reportaron anemia severa, leucopenia y trastornos hidroelectrolíticos; el examen general de heces reveló larvas de Strongyloides stercoralis, con abundantes leucocitos polimorfonucleares. Se inició tratamiento antibiótico con sulfas, quinolonas e imidazoles, pero la paciente evolucionó desfavorablemente y falleció al octavo día intrahospitalario. Es importante considerar la posibilidad de una infección diseminada en pacientes con VIH/SIDA, debido a que el atraso en el inicio del tratamiento y un sistema inmunitario afectado favorecen la proliferación del parásito aumentando la mortalidad del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Strongyloides stercoralis is a parasite belonging to the group of nematodes, endemic in rural regions of countries with tropical and subtropical climate where it can affect between 30 and 100 million people. This infection is commonly asymptomatic and may remain hidden for decades, but changes in the immune system favor the development of a syndrome of hyperinfection or disseminated infection, with the frequency estimated in chronic stages between 1.5 and 2.5%. This paper reports the case of a female, 40 year-old patient, with HIV/AIDS and pulmonary tuberculosis, who attended the emergency service of the University School Hospital, Tegucigalpa, Honduras, with a history of diarrheic evacuations and abdominal pain of one month of evolution, accompanied by vomiting preceded by nausea, fever and weight loss approximately of 12 kg from the onset of symptoms. Laboratory tests reported severe anemia, leukopenia and hydroelectrolytic disorders; general examination of faeces revealed: larvae of Strongyloides stercoralis, with abundant polymorphonuclear leukocytes. Antibiotic treatment was started with sulfas, quinolones and imidazoles, but the patient progressed unfavorably and died on the eighth hospital day. It is important to consider the possibility of a disseminated infection in patients with HIV/AIDS, because the delay in the beginning of the treatment and a compromised immune system favor the proliferation of the parasite increasing the mortality of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Strongyloides stercoralis]]></kwd>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="es"><![CDATA[inmunosupresión]]></kwd>
<kwd lng="en"><![CDATA[Strongyloides stercoralis]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
<kwd lng="en"><![CDATA[Immunosuppression]]></kwd>
</kwd-group>
</article-meta>
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