Erica Merman1, Sanjay Siddha2, Jay S Keystone3, Ayman Al Habeeb4, Danny Ghazarian4, Ajith Cy2, Cheryl F Rosen2. 1. Department of Medicine, University of Toronto, Toronto, Ontario, Canada erica.merman@utoronto.ca. 2. Division of Dermatology, University Health Network Hospitals, Toronto, Ontario, Canada. 3. Division of Infectious Disease, Tropical Disease Unit, Toronto General Hospital, University Health Network Hospitals, Toronto, Ontario, Canada. 4. Department of Pathology, University Health Network Hospitals, Toronto, Ontario, Canada.
Abstract
BACKGROUND AND OBJECTIVE: While clinical symptoms of strongyloidiasis are often nonspecific, larva currens (with erythematous, serpiginous, and pruritic papules and plaques) should prompt investigation including stool microscopy, serology, and skin biopsy of the lesion. Appropriate diagnosis and treatment with ivermectin is necessary, especially in the immunocompromised patient who is at increased risk for hyperinfection syndrome and disseminated disease. CONCLUSION: We present a 61-year-old immunocompromised man with presentation of larva currens of cutaneous strongyloides infection without symptoms of hyperinfection or disseminated disease.
BACKGROUND AND OBJECTIVE: While clinical symptoms of strongyloidiasis are often nonspecific, larva currens (with erythematous, serpiginous, and pruritic papules and plaques) should prompt investigation including stool microscopy, serology, and skin biopsy of the lesion. Appropriate diagnosis and treatment with ivermectin is necessary, especially in the immunocompromised patient who is at increased risk for hyperinfection syndrome and disseminated disease. CONCLUSION: We present a 61-year-old immunocompromised man with presentation of larva currens of cutaneous strongyloides infection without symptoms of hyperinfection or disseminated disease.