Persistent eosinophilia among 21 historic cases of Strongyloides stercoralis infection: a case for routine follow-up and repeat treatment
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE(2020)
Abstract
Background: Strongyloidasis affects more than 100 million people worldwide and causes persisting infection. Methods: We retrospectively reviewed 21 cases of parasitologically confirmed Strongyloides stercoralis infection at our centre. Results: We found four individuals who had eosinophilia (>0.5x10(9)/litre) more than 6 mo after treatment. Conclusions: This may represent ongoing or relapsed infection. Our data support the need for continued follow-up of treated individuals, particularly those with abnormal host defences who are at risk of severe forms of the disease.
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Key words
chronic infection,eosinophilia,ivermectin,relapse,Strongyloides stercoralis,treatment
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