• Presse Med · Apr 2001

    Review Comparative Study

    [Disseminated strongyloidiasis].

    • J P Nozais, M Thellier, A Datry, and M Danis.
    • Service de Parasitologie et Mycologie, CHU Pitié Salpêtrière, Paris.
    • Presse Med. 2001 Apr 28; 30 (16): 813-8.

    AbstractENDEMIC ZONES: Strongyloidiasis is an intestinal parasitosis which is frequently found in tropical and subtropical regions. RISK: The "autoinfection" cycle during this helminthiasis explains why the infection can be perpetuated without further exposure to exogenous, infective larvae. Hyperinfection may occur by dissemination of Strongyloides stercoralis in immuno-compromised patients, particularly those under corticotherapy. DISSEMINATATED STRONGYLOIDIASIS: Disseminated strongyloidiasis is characterized by severe gastrointestinal and respiratory tract involvement, meningitis, skin rash, or Gram-negative bacteremia. Since disseminated stronglyoidiasis is fatal in 80% of cases it is imperative to diagnose and treat this condition before long-term corticotherapy. Ivermectin is currently recommended because it is effective and well tolerated.

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