Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
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Chronic diarrhoea <strong>in</strong> a returned traveller<br />
Diagnostic considerations and therapy for strongyloides <strong>in</strong>fections<br />
Serology is also available and given the low numbers and <strong>in</strong>termittent shedd<strong>in</strong>g is a<br />
valuable additional tool <strong>in</strong> screen<strong>in</strong>g high <strong>in</strong>cidence populations such as refugees. An<br />
important <strong>in</strong>fection to diagnose due to larval persistence <strong>in</strong> the body and the rare<br />
complication of hyper-<strong>in</strong>fection.<br />
Once diagnosed, by either serology or faecal exam<strong>in</strong>ation therapy is either with<br />
ivermect<strong>in</strong> (children over the age of 5 and the immunosuppressed) or albendazole.<br />
Due to <strong>in</strong>termittent treatment failures eradication <strong>in</strong> immunosuppressed patients <strong>in</strong><br />
particular should be documented.<br />
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