Strongyloidiasis: a review and update by case example
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Katherine Greiner1, Joseph Bettencourt, Carole Semolic
1Department of Medical Laboratory Sciences (Clinical Microbiology, Clinical Immunology/Immu- nohematology), Marist College, Poughkeepsie, NY 12601, USA. Katherine.Greiner@Marist.Edu
Unlabelled:
A 77-year-old female immigrant from South America presented with epigastric pain, diarrhea, gastrointestinal bleeding, malabsorption, and acid reflux disorder. A gastroduodenoscopy, performed to assess for peptic ulcer disease, revealed parasitic larvae in the duodenal mucosa which were subsequently identified as Strongyloides stercoralis rhabditiform larvae. Anti-helminthic therapy was initiated to resolve infection.
Objectives:
Review the pathogenesis, diagnosis and treatment of strongyloidiasis; alert laboratory professionals to the importance of early detection of Strongyloides stercoralis in specimens from immigrants at risk and immunodeficient patients to reduce morbidity and mortality.
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