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Strongyloidiasis Hyperinfection Syndrome in COVID-19 Positive Migrants Treated with Corticosteroids.
Jenks, Nancy Piper; Driscoll, Brendan; Locke, Tiffany.
  • Jenks NP; Sun River Health, 1037 Main St, Peekskill, NY, 10566, United States. njenks@sunriver.org.
  • Driscoll B; Sun River Health, 1037 Main St, Peekskill, NY, 10566, United States.
  • Locke T; University of Ottawa, Ottawa, Canada.
J Immigr Minor Health ; 24(6): 1431-1434, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2128926
ABSTRACT
The aim of this study is to highlight the potentially fatal risk of Strongyloidiasis Hyperinfection Syndrome for hospitalized immigrant patients with moderate to severe COVID-19 disease and undiagnosed Strongyloidiasis. We reviewed electronic medical records of immigrants from 2010 to 2022 and extracted the number of patients with eosinophilia, strongyloidiasis and COVID-19 infection, outpatient and hospitalized. While 885 outpatients were diagnosed with eosinophilia, only 356 (40.2%) were tested for strongyloidiasis and 160 (44.9%) yielded a reactive serology. COVID-19 infection was reported in 6,412 patients. 1135 (17.7%) of these patients sought hospital care. Patients with undiagnosed strongyloidiasis are at risk for a potentially fatal parasitosis if treated with systemic corticosteroids for COVID-19. This supports clinical guidelines in hospital settings for those with severe COVID-19. Strongyloidiasis should be considered by taking a thorough travel or migration history and testing before giving immunosuppressive drugs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Strongyloidiasis / Transients and Migrants / Strongyloides stercoralis / Eosinophilia / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Animals / Humans Language: English Journal: J Immigr Minor Health Journal subject: Social Sciences / Public Health Year: 2022 Document Type: Article Affiliation country: S10903-022-01386-w

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Strongyloidiasis / Transients and Migrants / Strongyloides stercoralis / Eosinophilia / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Animals / Humans Language: English Journal: J Immigr Minor Health Journal subject: Social Sciences / Public Health Year: 2022 Document Type: Article Affiliation country: S10903-022-01386-w