Strongyloides hyperinfection presenting with ulcerative duodenitis and septic shock in a steroid-treated patient

Strongyloides stercoralis can cause chronic infections that may escalate into life-threatening hyperinfection, especially in immunocompromised patients. Severe intestinal strongyloidiasis has been associated with bacteraemia and sepsis, classically due to translocation of enteric organisms across a disrupted intestinal mucosal barrier. We report a patient with lepromatous leprosy on steroids who developed Strongyloides hyperinfection presenting with ulcerative duodenitis and septic shock.