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Case Reports in Infectious Diseases
Volume 2017, Article ID 6718284, 4 pages
https://doi.org/10.1155/2017/6718284
Case Report

A Case of Strongyloidiasis: An Immigrant Healthcare Worker Presenting with Fatigue and Weight Loss

1Kingsbrook Jewish Medical Center, Brooklyn, NY, USA
2American University of Antigua College of Medicine, Coolidge, Antigua and Barbuda

Correspondence should be addressed to Tarundeep Grewal; ten.demaua@gpeednurat

Received 1 April 2017; Revised 13 May 2017; Accepted 16 May 2017; Published 28 June 2017

Academic Editor: Fariborz Mansour-ghanaei

Copyright © 2017 Tarundeep Grewal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Strongyloides stercoralis is an intestinal nematode parasite classified as a soil-transmitted helminth, endemic in tropical and subtropical regions. Strongyloides stercoralis can remain dormant for decades after the initial infection. Case. We describe a patient who was diagnosed with Strongyloides stercoralis infection three weeks after a left inguinal hernia repair and discuss approaches to prevention, diagnosis, and treatment. Conclusions. Physicians in the United States often miss opportunities to identify patients with chronic strongyloidiasis. Symptoms may be vague and screening tests have limitations. We review current strategies for diagnosis and treatment of chronic intestinal strongyloidiasis in immigrant patients who have significant travel history to tropical regions and discuss the clinical features and management of the infection.