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By ULY CLINIC

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Strongyloidiasis

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Introduction

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Small intestinal infestation caused by Strongyloides stercoralis usually asymptomatic in immune competent adult but can lead to life-threatening infestation and disseminated strongyloidiasis in an immune-compromised host associated with high mortality rates

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Diagnostic Criteria 

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Pruritic papulo–vesicular rash at the site of penetration or uticarial rash involving the perennial region extending to the buttocks, thighs and abdomen

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  • Chronic cough

  • Colicky abdominal pains

  • Chronic diarrhea and passage of mucus

  • Weight loss

  • Hyper-infection syndrome PLUS

  • Evidence of rhabiditform larva in wet mount stool examination with Serological evidence (ELISA) for anti-strongyloides antibody 

 

Pharmacological Treatment

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  • Albendazole (PO) 400mg 12 hourly for 3 days (Repeat after 4 weeks if still positive stool findings)

OR

  • Ivermectin (PO) 200 µg /kg daily for 2 days

OR

  • Thiabendazole (PO) 25mg/kg body weight (max.1.5g) 12 hourly for 3 days 

 

Note :

  • Give treatment for 10 days in case of disseminated/super infestation

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Updated on, 2.11.2020

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References

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1. STG 

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