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Chronic asymptomatic infection can be sustained for decades, and immunosuppression can lead to disseminated infection, with a mortality rate of 70%\u2013100%. In the neurosurgical population, corticosteroids are the most consistent cause of hyperinfection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>\n                      The authors present the case of a 33-year-old woman of Paraguayan origin who was diagnosed with sphenoid planum meningioma and treated with a high dose of corticosteroids on the basis of the diagnosis. She underwent surgery, and pathological anatomy reflected grade I meningioma. After the surgery, she started with a history of dyspnea, productive cough, fever, and urticarial rash. Later, she presented with intestinal pseudo-obstruction and bacterial meningitis with hydrocephalus. Serology was positive for\n                      <jats:italic>Strongyloides<\/jats:italic>\n                      (enzyme-linked immunosorbent assay), and she was diagnosed with hyperinfection syndrome. Ivermectin 200 \u00b5g\/kg daily was established.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>\n                      It may be of interest to rule out a chronic\n                      <jats:italic>Strongyloides<\/jats:italic>\n                      infection in patients from risk areas (immigrants or those returning from recent trips) before starting treatment with corticosteroids.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21667","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T08:34:21Z","timestamp":1657528461000},"source":"Crossref","is-referenced-by-count":0,"title":["Strongyloides hyperinfection syndrome due to corticosteroid therapy after resection of meningioma: illustrative case"],"prefix":"10.3171","volume":"4","author":[{"given":"V\u00edctor Rodr\u00edguez","family":"Dom\u00ednguez","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"P\u00e9rez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Neuroradiology, Hospital Universitario la Paz, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catalina Vivancos","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Utrilla","family":"Contreras","sequence":"additional","affiliation":[{"name":"European University of Madrid, Madrid, Spain; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto Isla","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Abenza Abild\u00faa","sequence":"additional","affiliation":[{"name":"Neuroradiology, Hospital Universitario la Paz, Madrid, Spain"},{"name":"Department of Neurology, Hospital Universitario Infanta Sof\u00eda, San Sebasti\u00e1n de los Reyes, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Trans R Soc Trop Med Hyg","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.trstmh.2008.01.020","article-title":"Strongyloides hyperinfection syndrome: an emerging global infectious disease","volume":"102","author":"Marcos LA","year":"2008","unstructured":"Marcos LA, Terashima A, Dupont HL, Gotuzzo E. 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