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Strongyloidosis: diagnosis
Last reviewed: 23.04.2024
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Laboratory diagnostics of strongyloidiasis consists in revealing larvae of S. Stercoralis in faeces or in duodenal contents by means of special methods (Berman's method, its modifications, etc.). With massive invasion, the larvae can be found in the native smear of feces. When the process is generalized, the helminth larvae can be detected in sputum, in urine.
Additional instrumental diagnostics of strongyloidiasis (X-ray examination of the lungs, ultrasound, EGDS with biopsy of the stomach and duodenal mucosa) is performed according to clinical indications.
[Indications for consultation of other specialists
Depending on which organs are affected, consultations of the gastroenterologist, pulmonologist, neurologist, cardiologist are shown.
Indications for hospitalization
Treatment of patients with uncomplicated strongyloidiasis is performed on an outpatient basis; patients with generalized and hyperinvasive strongyloidiasis are hospitalized in an infectious hospital.
Differential diagnosis of strongyloidiasis
Differential diagnosis of strongyloidosis on the basis of the clinical picture is difficult, which is explained by the polymorphism of the manifestations of strongyloidiasis. In the migration stage, strongyloidosis is differentiated from the migratory stage of ascariasis and other helminthiases, in chronic - from peptic ulcer of stomach and duodenum, chronic cholecystitis, pancreatitis.