Presentations of strongyloidiasis
System | Acute strongyloidiasis | Chronic strongyloidiasis | Hyperinfection syndrome and disseminated strongyloidiasis |
Skin | (Immediately) Skin irritation at point of infection | Recurrent larva currens Urticaria | Larva currens Petechial rashes |
Respiratory | (1 week) Dry cough | Asthma | Dyspnoea Cough Wheeze Chest pain Haemoptysis |
Gastro-intestinal | (3 weeks) Diarrhoea Constipation Abdominal pain Anorexia | Usually asymptomatic Abdominal pain Diarrhoea Constipation Intermittent vomiting Anal pruritus Weight loss | Crampy abdominal pain watery diarrhoea Colitis and proctitis Anorexia Weight loss Dysphagia Nausea and vomiting Bowel obstruction Paralytic ileus Protein-losing enteropathy Electrolyte imbalance |
Systemic | Nephrotic syndrome | Fever Gram negatives sepsis secondary to gut bacterial translocation Multiorgan dissemination |
Rare features of chronic infection have been excluded. Other Indicative incubation periods are in (parenthesis).
Common features are in bold and rare features in italics.