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Bacteremia, Liver Injury, and Pneumonitis: Strongyloides Unleashed by a Supplement

Published:October 14, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.09.033
      A 51-year-old woman presented with 2 weeks of fevers and postprandial abdominal pain. The symptoms began insidiously and were accompanied by nausea, vomiting, headache, and dizziness. Review of systems was also notable for joint pain in her hands and feet for the past year. She had otherwise been well, and had no diarrhea, urinary symptoms, skin complaints, cough, dyspnea, or focal neurologic symptoms. She had hypertension and diabetes and took metformin and lisinopril. She was originally from Mexico but had lived in Houston, Texas for years without traveling. She had no occupational exposures and did not smoke, drink, or use recreational drugs.
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