This woman has a lot of signs that point toward an intestinal parasitic infection: recent travel to Papua New Guinea, cough and alveolar infiltrates, high eosinophil count, and a stool sample that has a worm in it. Most likely the patient has a Strongyloides infection, as this is the intestinal parasite that shows larva on stool sample. Basically all intestinal parasites can be treated with Bendazole drugs, such as Thiabendazole. Praziquantel would be more appropriate for a worm or liver fluke infection.
fulminant_lifejust to add to the explanation above," cutaneous larva currens" is a specific finding for strongyloides. Also the picture they used is the exact same one on wikipedia lol+10
yb_26they really should add Wikipedia in the list of top-rated review resources with A+ level of recommendation in FA2020)))+12
usmile1also a side note:
cutaneous larva CURRENS is pathognomonic for strongyloides whereas
Cutaneous larva MIGRANS is for ancylostoma braziliense or nectar Americanus+7
solgabrielamorenoFA 2019 pg 159 . Bendazoles because worms are bendy. (Treatment for roundworms)
Praziquantel is for Cysticercosis (Taenia Solium) and Diphyllobothrium Latum
Mefloquine : treats malaria
Hydroxycloroquine: treats Malaraia, also RA & Lupus (immunisuppresive & anti-parasite)
Dexamethasone: Steroid for inflammation+2
abhishek021196FA20 says Ivermectin OR Bendazoles for Strogyloides, so in a future question, if Ivermectin is listed, that could be the right answer for this as well. +3
submitted by โm-ice(370)
This woman has a lot of signs that point toward an intestinal parasitic infection: recent travel to Papua New Guinea, cough and alveolar infiltrates, high eosinophil count, and a stool sample that has a worm in it. Most likely the patient has a Strongyloides infection, as this is the intestinal parasite that shows larva on stool sample. Basically all intestinal parasites can be treated with Bendazole drugs, such as Thiabendazole. Praziquantel would be more appropriate for a worm or liver fluke infection.