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Home > Medical Reference > Encyclopedia (English)

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Strongyloidiasis - Treatment

Treatment:

The goal of treatment is to eliminate the worms with anti-worm medications such as ivermectin.

In some cases, such as in those who will be taking immunosuppressive drugs, people with no symptoms are treated.

Expectations (prognosis):

Full recovery with eradication of parasites is expected with adequate treatment. Sometimes treatment needs to be repeated.

Infections that are widespread often have a poor outcome, especially in people with weakened immune systems.

Complications:

  • Acute pulmonary eosinophilia (Loeffler's syndrome)
  • Disseminated strongyloidiasis, especially in patients with HIV or an otherwise compromised immune system
  • Malnutrition due to problems absorbing nutrients from the gastrointestinal tract (malabsorption)

Calling your health care provider:

Call for an appointment with your health care provider if you have symptoms of strongyloidiasis.

  • Reviewed last on: 12/3/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Kazura JW. Nematode infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 378.
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