Volume 31, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



A 56-year-old woman with acquired, common variable immunodeficiency was found to have persistent gastrointestinal as well as pulmonary infection with . Repeated courses of treatment with thiabendazole led to marked reduction or loss of larvae, but cessation of treatment always led to recurrence of infection. Several small bowel biopsies showed normal villous architecture and little inflammatory response to presence of larvae. Interestingly, no definite symptomatology could be attributed to the infection. It was postulated that the lack of signs and symptoms of strongyloidiasis, as well as poor response to treatment, was related to the immunodeficiency state. With low-dose, long-term interrupted courses of thiabendazole treatment, the infection finally seemed to be cured.


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