Management of Strongyloides Hyperinfection Syndrome
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Strongyloides stercoralis is an infectious helminth endemic to the tropics and subtropics, and can be seen in immigrants and returning travelers. Symptoms of acute infection involve organs of the typical life cycle of the nematode. In milder forms of chronic infections, strongyloides is capable of persisting in a host for years to decades. Severe strongyloidiasis includes the hyperinfection syndrome and disseminated infection, and occurs most frequently in the immunocompromised and immunosuppressed populations. We illustrate a case of severe strongyloidiasis, discuss clinical manifestations and diagnosis of infection, and present the evidence for treatment options. The key to successful therapy is early recognition of disease, and prompt diagnosis in high risk patients.
KeywordsStrongyloides Strongyloides stercoralis Severe strongyloidiasis Strongyloides hyperinfection Disseminated strongyloides infection Strongyloides treatment Ileus Helminthic infections
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