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 it is usually dependent on the worm burden and the involved organ.

Physical examination

General appearance

Most patients generally appear well with minimal or no symptoms on physical examination.

Vital signs

Fever may be seen in strongyloidiasis.

• Low-grade fever may occur in some patients with strongyloidiasis
• High grade fever
  • In complications such as Acute cholangitis and Hepatic abscess

HEENT

HEENT findings may include:

• 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 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

The patients with can present with urticaria.