1. Imported strongyloidiasis: epidemiology, presentations, and treatment.
- Author
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Buonfrate D, Angheben A, Gobbi F, Muñoz J, Requena-Mendez A, Gotuzzo E, Mena MA, and Bisoffi Z
- Abstract
Strongyloidiasis is extremely more frequent in immigrants than in travellers. Clinical presentations do not differ significantly between the two groups, and the most frequent picture is a chronic infection characterized by intermittent, mild, non-specific symptoms. Acute presentation is rare but it has been reported in travellers. Screening of asymptomatic subjects is not generally recommended, while a presumptive treatment with ivermectin might be justified for all travellers and immigrant patients presenting unexplained eosinophilia and/or compatible symptoms, even in case of negative test results. In fact, delayed diagnosis and treatment has life-threatening consequences in patients with conditions predisposing to development of hyperinfection and dissemination.
- Published
- 2012
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