Disseminated Tuberculosis with Strongyloides Stercoralis Infestation

Case history: we are presenting a case of seven year old male with disseminated tuberculosis and infection with strongyloides stercoralis (s.stercoralis) the patient had severe hypoproteinemia and anasarca. s.stercoralis is a helminthic infection. infection is acquired by walking bare foot on contaminated soil. after infection the filariform larvae invade the venous circulation and reach the intestine via respiratory system. hyperinfection with this parasite leads to steatorrhea, oedema of duodenum, protein losing enteropathy, especially in immunocompromised individual. the patient had disseminated tuberculosis leading to decreased immunity which made the patient susceptible to hyperinfection with strongyloides. the patient responded dramatically to ivermectin and anti tubercular treatment. timely intervention with appropriate drugs may prove to be lifesaving in such condition