Fatal Strongyloides stercoralis hyperinfection syndrome in an alcoholic diabetic patient from México.

Strongyloides stercoralis hyperinfection syndrome is a medical emergency requiring a high level of suspicion. Immunocompromised patients are particularly at high risk of hyperinfection syndrome; however, malnutrition, alcoholism, and diabetes mellitus also need to be considered as predisposing factors. Diagnosis and treatment of Strongyloides hyperinfection are challenging, and patients with this disease often have severe complications. Consequently, mortality is overwhelmingly high, with rates above 60%. Herein, we report a case of Strongyloides hyperinfection in a 40-year-old alcoholic, diabetic patient, who lived in Mexico. Unfortunately, the late diagnosis resulted in fatality despite treatment and supportive measures. Increased awareness is needed to prevent the dire consequences of strongyloidiasis.