Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- history of soil exposure in an endemic area
- infection with other parasites
Другие диагностические факторы
- abdominal pain
- altered bowel habit
- weight loss
- fever (hyperinfection)
- signs of sepsis (hyperinfection)
- chronic cough
- wheezing
- pruritus or dermatitis
- larva currens
- urticaria
- cutaneous larva migrans
- apparent drug reaction rash (hyperinfection)
- other skin complaints
- symptoms and signs of inflammatory bowel disease
Факторы риска
- soil exposure in or migrants from an endemic area of the world
- international travelers
- corticosteroids (risk of hyperinfection)
- human T-cell lymphotropic virus type-1 (HTLV-1) infection (risk of hyperinfection)
- impaired immunity
- solid-organ transplant recipient
Диагностические исследования
Исследования, которые показаны в первую очередь
- stool ova and parasites (O&P) exam
- CBC with differential
- therapeutic trial with ivermectin (in specific situations)
Исследования, проведение которых нужно рассмотреть
- sputum O&P exam
- clinical sample (nonstool or sputum) O&P exam
- strongyloides IgG serology
- tissue biopsy
Неотложные исследования
- polymerase chain reaction (PCR)
Алгоритм лечения
immigrant from endemic area
able to tolerate oral therapy: not critically ill (nonpregnant)
unable to tolerate oral therapy or critically ill (nonpregnant)
pregnant
poor clinical response or initial treatment not completed
Составители
Авторы
David R. Boulware, MD, MPH, CTropMed

Professor of Medicine
Department of Medicine
University of Minnesota
Minneapolis
MN
Раскрытие информации
DRB is an author of a number of references cited in this topic.
Рецензенты
Elizabeth Barnett, MD
Professor
Department of Pediatrics
Boston Medical Center
Boston University
Boston
MA
Раскрытие информации
EB declares that she is on a speaker's bureau for Merck. She is an author of a reference cited in this topic.
Linda Nield, MD, FAAP
Professor of Pediatrics
West Virginia University School of Medicine
Morgantown
WV
Раскрытие информации
LN is an author of a reference cited in this topic.
Geoff Gill, MA, MSc, MD, FRCP, DTMH
Professor of International Medicine and Honorary Consultant Physician
Liverpool School of Tropical Medicine
Liverpool
UK
Раскрытие информации
GG declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
World Gastroenterology Organisation. WGO practice guideline: management of strongyloidiasis. February 2018 [internet publication].Полный текст
Loutfy MR, Wilson M, Keystone JS, et al. Serology and eosinophil count in the diagnosis and management of strongyloidiasis in a non-endemic area. Am J Trop Med Hyg. 2002 Jun;66(6):749-52. Аннотация
Henriquez-Camacho C, Gotuzzo E, Echevarria J, et al. Ivermectin versus albendazole or thiabendazole for Strongyloides stercoralis infection. Cochrane Database Syst Rev. 2016 Jan 18;(1):CD007745.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Hookworm
- Schistosomiasis
- Filariasis
Больше ОтличияРекомендации
- Strongyloidiasis: resources for health professionals
- CDC Yellow Book: health information for international travel - strongyloidiasis
Больше РекомендацииЛифлеты для пациента
Pinworm
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