Strongyloidiasis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The physical examination findings in strongyloidiasis vary and are usually dependent on the worm burden and the involved organ.[1]
Physical examination
General appearance
Most patients generally appear well with minimal or no symptoms on physical examination.
Vital signs
Fever may be observed in strongyloidiasis.
- Low-grade fever may occur in some patients with strongyloidiasis
- High-grade fever
- Present in complications such as acute cholangitis and hepatic abscess
HEENT
- Icteric sclera secondary to obstructive jaundice
Chest
Eosinophilic pneumonia (Löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:
- Dyspnea
- Coarse rales
- Wheezing resulting from bronchospasms
Abdomen
Physical examination of the abdomen may reveal:
- Abdominal tenderness
- Secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc.
- Abdominal distension
- Signs of acute bowel obstruction
Skin
Patients may present with urticaria.
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.