Pulmonary strongyloidiasis complicated by E-coli meningitis in an HIV1 and HTLV1 positive patient

Introduction Disseminated strongyloidiasis occurs in immunodepressed patients, notably those infected by retroviruses. Observation A pulmonary strongyloidiasis, complicated by an Escherichia coli meningitis, occurred in a patient exhibiting seropositivity HIV1 for the past year. The status of cell immunity, with 354 lymphocytes T CD4+/mm(3), could not explain this severe complication. This led to the diagnosis of an HTLV1 infection. The strongyloidiasis was treated with two cycles of ivermectine, which cured the patient. Comments In HIV-infected patients exhibiting severe strongyloidasis, research for an HTLV co-infection is recommended.