Endemic institutional strongyloidiasis in British Columbia

The incidental finding in 1984 of Strongyloides stercoralis larvae in a resident of a chronic care institution who had a vague clinical illness prompted a review of the other residents. Five other cases were identified after exhaustive laboratory investigations. Fecal-oral spread was considered the...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 136; no. 11; pp. 1173 - 1176
Main Authors Proctor, E M, Muth, H A, Proudfoot, D L, Allen, A B, Fisk, R, Isaac-Renton, J, Black, W A
Format Journal Article
LanguageEnglish
Published Canada 01.06.1987
Subjects
Adult
Antibodies - analysis
British Columbia
Cross Infection - epidemiology
Disabled Persons
Feces - parasitology
Female
Humans
Institutionalization
Intellectual Disability
Middle Aged
Strongyloides - isolation & purification
Strongyloidiasis - epidemiology
British Columbia
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Summary:The incidental finding in 1984 of Strongyloides stercoralis larvae in a resident of a chronic care institution who had a vague clinical illness prompted a review of the other residents. Five other cases were identified after exhaustive laboratory investigations. Fecal-oral spread was considered the most likely manner of the spread of infection. The possibility of endemic strongyloidiasis in institutions should be considered, even in temperate climates, when there is unexplained persistent illness or high eosinophil counts. Serologic testing is a useful adjunct to fecal examination in such situations.
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ISSN:0820-3946
1488-2329