Strongyloides & Fatal Malpractice

The MacMeister dnickol at netserv.unmc.edu
Fri Apr 1 16:47:21 EST 1994


BeachSG (beachsg at aol.com) wrote:
: A patient with disseminated strongyloidiasis was treated with the wrong
: medication.  The patient died.  This incident occurred at the Mount Sinai
: Medical Center in New York City and was reported by Susan Morgello, et al., in
: an article titled "Central nervous system Strongyloides stercoralis in acquired
: immunodeficiency syndrome: a report of two cases and review of the literature,"
: _Acta Neuropathologica_ (1993) 86:285-288.

: The patient was treated with pyrantel pamoate, which is not effective against
: Strongyloides stercoralis.  See _Drug Evaluations_, 1991 edition, page 1556,
: published by the American Medical Association.  In contrast, pyrvinium pamoate
: is effective against Strongyloides stercoralis.  See "Strongyloidiasis treated
: with Pyrvinium Pamoate," _Journal of the American Medical Association_, volume
: 193, number 10, September 6, 1965.

: Oops?

oops, indeed. parasitological pathology received a total of 2
lectures here at UNMC this year, plus a couple of pharm lectures.
i wonder if it receives a similarly low amount of coverage at
other medical schools in the U.S....

devin

-- 
Devin Nickol
dnickol at netserv.unmc.edu



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