November 1978

Strongyloidiasis in Childhood

Author Affiliations

From the Department of Pediatrics, University of Kentucky College of Medicine, Lexington.

Am J Dis Child. 1978;132(11):1130-1136. doi:10.1001/archpedi.1978.02120360086017

Strongyloides stercoralis is an intestinal nematode of man that is still regularly encountered in many parts of the United States. Strongyloidiasis should be considered in any child with unexplained eosinophilia, steatorrhea, protein-losing enteropathy, or chronic diarrhea, especially if associated with weight loss, growth failure, or recurrent upper abdominal pain. This parasite should be ruled out in any patient from an endemic region who is to be treated with corticosteroids or immunosuppressive agents. Microscopical examination of duodenal fluid, Baermann's fecal extraction technique, or the HaradiMori stool culture method may be required to make a diagnosis because the organism is not routinely found in concentrated feces even after multiple examinations in some infected individuals. A diagnosis of strongyloidiasis is important because the disease is curable.

(Am J Dis Child 132:1130-1136, 1978)