[Tropmed-l] RES: Leprosy and steroids

[Mitermayer Galvão dos Reis]

Dear Carlos,

During my residency in pathology I did several autopsy from patients that received steroids or treatment for chronic renal disease, Lynphoma. leukemia, neuroschistosomiasis etc. and died from severe form of strongyloidiasis. The rule is treat for strongyloidiasis before start with  steroids and etc. Three Bermann in general give 100 % of positivity if well done.


Bes regards,

Mitermayer Reis

-----Mensagem original-----
De: tropmed-l-bounces em lineu.icb.usp.br [mailto:tropmed-l-bounces em lineu.icb.usp.br] Em nome de chncosta em gmail.com
Enviada em: quarta-feira, 11 de julho de 2012 11:02
Para: tropmed-l em lineu.icb.usp.br
Assunto: [Tropmed-l] Leprosy and steroids

Dear fellows,
Last month I lost one more patient with leprosy due to steroid abuse for reaction self-treatment.
He developed meningitis by Cryptococcus but dyed soon after the diagnosis. Some years ago I lost a teenager also with steroid abuse for leprosy reactions who developed severe strongyloidiasis and paraplegy due to vertebral collapse caused by severe osteoporosis.
I wonder that this might a meaningful problem in the tropics. Have you also seen this? What Brazilian (or your country's) legislation determine about steroid retail sales?
Best regards,
Carlos Costa.
PS. Let's try together to enlarge Tropmed-l by forwarding our messages to other interested people or organizations?
Sent from my BlackBerry® wireless device
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