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Strongyloidiasis - Treatment

Treatment:

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

In some cases, people with no symptoms are treated. This includes people who take drugs that suppress the immune system.

Expectations (prognosis):

With good treatment, people should make a full recovery and the parasites should be removed. Sometimes treatment needs to be repeated.

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

Complications:

  • Disseminated strongyloidiasis, especially in patients with HIV or an otherwise weakened immune system
  • Eosinophilic pneumonia
  • 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: 12/7/2010
  • 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

Maguire JW. Intestinal nematodes (roundworms). In: Mandell GL, Bennett JE, Dolan R, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Orlando, FO: Saunders Elsevier; 2009:chap 287.

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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