Dermatological Presentation of Strongyloides stercoralis Infection in Two Elderly Italian Inpatients

Author:

Gardini Giulia1ORCID,Froeschl Guenter2ORCID,Puzzi Petra Rosa1,Gambino Silvia1,Erne Elke Maria1

Affiliation:

1. Department of Infectious Diseases, Provincial Hospital of Bolzano (SABES-ASDAA), Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, 39100 Bolzano-Bozen, Italy

2. Division of Infectious Diseases and Tropical Medicine, University Hospital (LMU), 80802 Munich, Germany

Abstract

Persistent infections caused by Strongyloides stercoralis are probably underestimated in the elderly Italian population. This nematode is unique among helminths: it can last asymptomatically in the host for decades and may present with a broad range of clinical pictures upon reactivation. Misdiagnosis often occurs even when the clinical picture is suggestive. If undetected, this parasitosis can lead to serious consequences when hyperinfection occurs. Herein, we report two peculiar clinical cases of complicated strongyloidiasis with multiple skin lesions. The aim of our report is to lead clinicians to familiarize themselves with skin patterns and clinical features that can suggest a possible underlying strongyloidiasis.

Publisher

MDPI AG

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