Article Text

Download PDFPDF
Disseminated strongyloidiasis after prolonged treatment with corticosteroids
  1. Caitlin Mahoney,
  2. Carina Murphy Brown,
  3. Brittany McIntyre and
  4. Sara Neal
  1. Family Medicine, Cone Health, Greensboro, North Carolina, USA
  1. Correspondence to Dr Sara Neal; sara.neal{at}


Strongyloides stercoralis is a helminth found in the soil and transmitted to humans through larval penetration of the skin. It is endemic across most of the tropical regions of the world. Infection with S. stercoralis commonly causes minimal or mild symptoms. This case report describes an interesting final diagnosis for a woman presenting with persistent nausea, vomiting and epigastric pain. Her evaluation included imaging and oesophagogastroduodenoscopy with biopsy. Her biopsy results revealed oesophageal candidiasis and disseminated strongyloidiasis. Important historical clues in this case included previous prolonged treatment with steroids, recent diagnosis of gram-negative bacteraemia, prior residence in Rwanda, and unknown predeparture treatment for S. stercoralis. She was ultimately treated with fluconazole and ivermectin with marked improvement in her symptoms.

  • Tropical medicine (infectious disease)
  • Infection (gastroenterology)
  • Migration and health
  • Infections
  • Endoscopy

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @none

  • Contributors All authors took part in the clinical care of this patient during her hospital stay. CM and CMB drafted, revised and edited the work. BM and SN revised and edited the work. All authors have approved the final version of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.