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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children

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Strongyloidiasis: a review and update by case example.

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

Clinical Laboratory Science : Journal of the American Society for Medical Technology

|May 30, 2008

Summary

A 77-year-old immigrant presented with gastrointestinal issues. Diagnosis confirmed Strongyloides stercoralis infection, successfully treated with anti-helminthic therapy.

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Area of Science:

Medical Parasitology
Gastroenterology
Infectious Diseases

Background:

Strongyloidiasis is a parasitic infection caused by Strongyloides stercoralis.
It disproportionately affects immigrants from endemic regions and immunocompromised individuals.
Early diagnosis and treatment are crucial to prevent severe complications.

Observation:

A 77-year-old female immigrant from South America presented with significant gastrointestinal symptoms including epigastric pain, diarrhea, bleeding, and malabsorption.
Gastroduodenoscopy revealed parasitic larvae in the duodenal mucosa.
Larvae were identified as Strongyloides stercoralis rhabditiform larvae.

Findings:

The patient's symptoms were attributed to Strongyloides stercoralis infection.
Anti-helminthic therapy was initiated for treatment.
The therapy aimed to resolve the parasitic infection and alleviate symptoms.

Implications:

Highlights the importance of considering strongyloidiasis in immigrants presenting with unexplained gastrointestinal symptoms.
Emphasizes the need for laboratory professionals to be vigilant in identifying Strongyloides stercoralis.
Underscores the potential for severe morbidity and mortality if left untreated, especially in at-risk populations.