Disseminated strongyloidiasis

Endemic zones: Strongyloidiasis is an intestinal parasitosis Which is frequ ently found in tropical and subtropical regions. Risk: The "autoinfection" cycle during this helminthiasis explains why the infection can be perpetuated without further exposure to exogenous, infecti ve larvae. Hyperinfection may occur by dissemination oi Strongyloides sterc oralis in immune-compromised patients, particularly those under corticother apy. Disseminatated strongyloidiasis: Disseminated strongyloidiasis is character ized by severe gastrointestinal and respiratory tract involvement, meningit is, skin rash, or Cram-negative bacteremia. Since disseminated strongyloidi asis is fatal in 80% of cases it is imperative to diagnose and treat this c ondition before long-term corticotherapy. Ivermectin is currently recommand ed because it is effective and well tolerated. (C) 2001, Masson, Paris.