Intestinal Parasites: Helminths, Cestodes, Protozoa (and other ...

Strongyloides:
Diagnosis and Treatment
• Diagnosis: low sensitivity, underestimated burden
of disease
– Stool O+P is difficult due to larvae in stools, not eggs
– String test: examines duodenal contents, misses lower
– Serum antibody testing
• Treatment
– Ivermectin X 2 days (80% cure rate)
– Albendazole X 7 days
– Treat empirically in pts who are going to receive
immunosuppression in endemic areas