info:eu-repo/semantics/article
Strongyloidiasis: A Neglected Tropical Disease
Fecha
2019-03Registro en:
Krolewiecki, Alejandro Javier; Nutman, Thomas B.; Strongyloidiasis: A Neglected Tropical Disease; W B Saunders Co-Elsevier Inc; Infectious Disease Clinics Of North America; 33; 1; 3-2019; 135-151
0891-5520
CONICET Digital
CONICET
Autor
Krolewiecki, Alejandro Javier
Nutman, Thomas B.
Resumen
Strongyloides stercoralis is a unique soil transmitted helminth, which through autoinfection,can sustain chronic asymptomatic infections for decades. New diagnostic approaches through serology and nucleic acid amplification tests (NAATs)with superior sensitivity compared with stool microscopy are becoming more available forcase management. In transplant candidates and subjects receiving immunosuppressive drugs (mainly corticosteroids),strongyloidiasis should be considered and treated promptly. Hyperinfection is a medical emergency with high mortality that requires prompt treatmentinitiation. Ivermectin is the treatment of choice for all clinical forms of strongyloidiasis, which shouldbe treated even in asymptomatic cases.