Strongyloides Stercoralis Infection in a Case of Ankylosing Spondylitis

A 69 year old man was admitted in the hospital with chief complaints of fever of 2 days duration, swelling and pain of lower limb and knee joint for 4 days. He was a known case of ankylosing spondylitis for last 10 years with chronic intake of corticosteroids. On admission the patient was diagnosed with right lower limb cellulitis and right lung consolidation and pleural effusion. Blood culture and synovial fluid culture showed growth of Staphylococcus aureus. 2 days later patient complained of diarrhoea. Routine stool examination showed plenty of rhabditiform Strongyloides Stercoralis larva. The patient was treated with Ivermectin for Strongyloides and was discharged after total resolution of infection with advice of regular follow-ups for any dissemination or hyperinfection.