MRCEM Notes

<i>Strongyloides stercoralis</i>

Strongyloides stercoralis is a human parasitic nematode worm. The larvae are present in soil and gain access to the body by penetrating the skin. Infection with Strongyloides stercoralis causes strongyloidiasis.

Features
  • diarrhoea
  • abdominal pain/bloating
  • papulovesicular lesions where the skin has been penetrated by infective larvae e.g. soles of feet and buttocks
  • larva currens: pruritic, linear, urticarial rash
  • if the larvae migrate to the lungs a pneumonitis similar to Loeffler's syndrome may be triggered

Treatment
  • ivermectin and albendazole are used
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