Strongyloidiasis: An Emerging Infectious Disease in China

Chunmei Wang Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Jiabao Xu Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Xiaohong Zhou Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Juan Li Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Guiyun Yan Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Anthony A. James Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Xiaoguang Chen Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Program in Public Health, and Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, California

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Since the first case of strongyloidiasis reported in China in 1973, there have been 330 confirmed cases as of 2011. The present study conducted a meta-analysis on 106 cases for which detailed information on clinical symptoms, diagnosis, and outcome was available. Most (63%) cases were from the past decade. Immunocompromised patients and those given cortical hormones accounted for 68% of the cases, and case-fatality rate was 38%. General clinical symptoms included abdominal pain (53%), diarrhea (46%), fever (40%), and vomiting (39%). The parasite positivity rate in feces, sputum, and urine by microscopic diagnosis was 75%, 24%, and 8%, respectively, and gastrointestinal endoscopy or other biopsy detection rates were 17%. A lack of specific clinical manifestations makes early diagnosis and correct treatment difficult. Strongyloidiasis is an emerging disease in China, and public and clinical awareness needs to be raised to improve prevention and control.

Author Notes

* Address correspondence to Xiaoguang Chen, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, 510515, China. E-mail: xgchen2001@hotmail.com

Financial support: This study was supported by grants from the National Natural Science Foundation of China (U0832004) and Guangdong University of Foreign Studies GDUPS (2009) to Xiaoguang Chen.

Authors' addresses: Chunmei Wang, Jiabao Xu, and Xiaohong Zhou, Department of Parasitology, Southern Medical University, Guangzhou, China, E-mails: wangcmq@163.com, xujiabao007@gmail.com, and daizhouxh@163.com. Juan Li, Nanfang Hospital, Southern Medical University, Gaungzhou, China, E-mail: lj40038@126.com. Guiyun Yan, Program in Public Health, University of California, Irvine, CA, E-mail: guiyuny@uci.edu. Anthony A. James, Department of Molecular Biology and Biochemistry, University of California, Irvine, CA, E-mail: aajames@uci.edu. Xiaoguang Chen, No 1023 Shatai South Road, Guangzhou, China, E-mail: xgchen2001@hotmail.com.

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