By ULY CLINIC
Strongyloidiasis
Introduction
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
Diagnostic Criteria
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
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Colicky abdominal pains
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Chronic diarrhea and passage of mucus
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Weight loss
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Hyper-infection syndrome PLUS
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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
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Ivermectin (PO) 200 µg /kg daily for 2 days
OR
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Thiabendazole (PO) 25mg/kg body weight (max.1.5g) 12 hourly for 3 days
Note :
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Give treatment for 10 days in case of disseminated/super infestation
Updated on, 2.11.2020
References
1. STG