Strongyloidiasis natural history, complications and prognosis

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If left untreated, the subclinical strongyloidiasis can disseminate and transform into hyper infection syndrome with a mortality rate of 90%.

Complications

Complications that can develop as a result of strongyloidiasis are

Disseminated strongyloidiasis, especially in patients with HIV or an otherwise weakened immune system
Eosinophilic pneumonia
Malnutrition due to problems absorbing nutrients from the gastrointestinal tract (malabsorption)

With good treatment, people should make a full recovery and the parasites should be removed. Sometimes treatment needs to be repeated.

Infections that are severe or widespread often have a poor outcome, especially in people with a weakened immune system.