Iranian Journal of Parasitology 2014. 9(2):155-162.

An Analysis of Clinical Characteristics of Strongyloides stercoralis in 70 indigenous patients in Iran.
Meysam Sharifdini, Eshrat Beigom Kia, Keyhan Ashrafi, Mostafa Hosseini, Hossein Mirhendi, Mehdi Mohebali, Bahare Kamranrashani

Abstract


Background: Clinical manifestations of Strongyloides stercoralis are variable from asymptomatic to hyperinfection and devastating disseminated infections. Hereby, clinical characteristics of a large series of Iranian strongyloidiasis indigenous cases are described.

Methods: The records of people referred to the Helminthological Diagnostic La-boratory of School of Public Health, Tehran University of Medical Sciences and School of Medicine, Gilan University of Medical Sciences, during 2009-2013 were reviewed. For those patients that were infected with S. stercoralis and their clinical manifestations and demographic data were available (70 cases) a checklist was pre-pared and data analyzed.

Results: Forty-three patients (61.4%) were male and 27 (38.6%) female. Gastroin-testinal, cutaneous and pulmonary symptoms were present in 71.4%, 25.7%, and 15.7% of patients, respectively. None of them had larva currens eruption. Eosino-philia was the most prevalent reason for suspicious on S. stercoralis, but the mean was lower in elderly patients. Hyperinfection were recorded in 8 patients (11.4%), and 2 cases had disseminated infection.

Conclusion: Eosinophilia is common both in asymptomatic and symptomatic cas-es of strongyloidiasis, but the mean tend to lower with increase in age.

Keywords


Clinical characteristics; Eosinophilia; Hyperinfection; Strongyloides stercoralis

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