Larva in the BAL

Stongyloides stercoralis https://www.cdc.gov/dpdx/monthlycasestudies/2015/case407.html

Stongyloides stercoralis previous posted case

https://www.cdc.gov/dpdx/strongyloidiasis/index.html/

https://www.nejm.org/doi/full/10.1056/NEJMicm1612018 #strongyloides

https://www.bmj.com/content/347/bmj.f4610

https://www.who.int/intestinal_worms/epidemiology/strongyloidiasis/en/

https://academic.oup.com/cid/article-abstract/71/10/e580/5802673 @Strongylady @Rojelio

Stongyloides stercoralis is a soil transmitted roundworm endemic tropics/subtropic infect >1 billion. In temperate/industrialized countries: travelers/immigrants. Replicate in human host, transmit person to person or contact w: soil larva

Stongyloides stercoralis infection can persist for decades & # of worms can increase w/o exogenous reinfection especially in persons reviving steroids or w/ HTLV1.
Strongy migrates thru lungs (also hookworms & ascaris) but whipworm & pinworms don’t migrate thru lungs

Stongyloides stercoralis can present w/ abd pain, diarrhea, larva currens, disseminated in immunocompromised. Serology more sensitive than stool exam. Treatment ivermectin.
-Suspect, diagnose & treat prior to the infection!

Originally tweeted by Indiana University Infectious Diseases Fellowship (@IUIDfellowship) on 7 April, 2021.

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