Table 2

Presentations of strongyloidiasis

SystemAcute strongyloidiasisChronic strongyloidiasisHyperinfection 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
AsthmaDyspnoea
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
SystemicNephrotic syndromeFever
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.