A Case of Strongyloidiasis: An Immigrant Healthcare Worker Presenting with Fatigue and Weight Loss.

Background: is an intestinal nematode parasite classified as a soil-transmitted helminth, endemic in tropical and subtropical regions. can remain dormant for decades after the initial infection.

Case: We describe a patient who was diagnosed with infection three weeks after a left inguinal hernia repair and discuss approaches to prevention, diagnosis, and treatment.

Conclusions: Physicians in the United States often miss opportunities to identify patients with chronic strongyloidiasis. Symptoms may be vague and screening tests have limitations. We review current strategies for diagnosis and treatment of chronic intestinal strongyloidiasis in immigrant patients who have significant travel history to tropical regions and discuss the clinical features and management of the infection.