Journal
CURRENT INFECTIOUS DISEASE REPORTS
Volume 14, Issue 3, Pages 256-262Publisher
SPRINGER
DOI: 10.1007/s11908-012-0248-6
Keywords
Strongyloides stercoralis; Imported; Travel; Travellers; Migration; Immigrants
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Funding
- EC [FP7-GA-261495]
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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.
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