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Am. J. Trop. Med. Hyg., 31(2), 1982, pp. 313-319
Copyright © 1982 by The American Society of Tropical Medicine and Hygiene

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Epidemiologic Features of Strongyloides Stercoralis Infection in an Endemic Area of the United States*

Peter D. Walzer, James E. Milder, John G. Banwell, George Kilgore, Marilyn Klein AND Ruby Parker
Veterans Administration Medical Center, Divisions of Infectious Diseases and Gastroenterology, Department of Medicine, University of Kentucky College of Medicine, Lexington, Kentucky 40507, Division for Laboratory Services, Kentucky Bureau of Human Resources, Frankfort, Kentucky 40601, Clay County Health Department, Manchester, Kentucky 40962, and Division of Infectious Diseases, Department of Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267

The epidemiologic features of Strongyloides stercoralis infection in Kentucky were studied by an analysis of clinical cases at the University of Kentucky Medical Center (UKMC); by an analysis of parasitologic records of the Kentucky Bureau for Health Services (KBHS); and by a prospective stool survey of school children in Clay County, located in southeastern Kentucky, an area of the state previously found to be highly endemic for intestinal parasites. S. stercoralis was the most common parasitic infection diagnosed at UKMC. The patients were predominantly white male adults who were over 50 years old, had an associated chronic or debilitating medical illness, were of low socioeconomic background, and resided in southeastern Kentucky. S. stercoralis was a common parasitic infection at KBHS and the patients showed a similar geographic distribution. Of 561 Clay County children surveyed, 23.7% harbored one or more intestinal parasite pathogens and 3.0% had S. stercoralis. Thus, S. stercoralis remains highly endemic in Kentucky and may cause disease even in geriatric patients.

Accepted for publication September 17, 1981.


* This study was supported by the Medical Research Service, Veterans Administration, and by a grant from Janssen R&D, Inc., New Brunswick, New Jersey.

Address reprint requests to: Peter D. Walzer, M.D., Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati Medical Center, 231 Bethesda Avenue, Cincinnati, Ohio 45267.






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Copyright © 1982 by the American Society of Tropical Medicine and Hygiene.