Strongyloides Stercoralis: A Parasitic Infection That Can Persist Decades after Original Exposure

Strongyloidiasis is a unique parasitic infection, which can cause hyperinfection or disseminated disease in immune suppressed patient several years after exposure due to the ability of the parasite to reproduce within the host. Prevalence rates vary widely. Most patients are asymptomatic. The most common risk factors for complications are immunosuppression caused by corticosteroids and infection with human T- lymphotropic virus type 1 (HTLV1).Diagnosis can be established by identifying the larvae in the stool; usually more than one sample is needed. But preferred diagnostic modality is serology. Treatment options for uncomplicated disease include Ivermectin, and Albendazole. Avoiding contact with infected soil can prevent disease.