Strongyloidiasis — The Worm That Never Leaves

Send us Fan MailIt's been 40 years since your patient worked on a farm in rural Southeast Asia. They feel fine. You're about to start them on prednisolone. Should you pause?In this episode of Synapse Clinical, we unpack Strongyloides stercoralis — the soil-transmitted worm with a unique trick: it can complete its entire life cycle inside the human host, persisting silently for decades, then turning lethal the moment immunity drops.We cover everything a GP needs to know: who to screen and when, how to recognise the clinical spectrum from mild eosinophilia to the pathognomonic larva currens rash, why eosinophilia disappears in the most dangerous presentations, and how to navigate treatment using current Therapeutic Guidelines — including the critical pre-immunosuppression checklist.This one's for every GP who has ever written a steroid script without thinking about worms. After this episode, you will.Strongyloidiasis. Don't look, and you won't find it.AI-generated voices. For education and entertainment only — not for clinical decision-making or patient management.Support the show⚠️ Disclaimer: The voices in this podcast are AI-generated. This content is produced for entertainment and learning purposes only and does not constitute medical advice. Clinical decisions should always be made in accordance with current guidelines, individual patient circumstances, and in consultation with appropriate colleagues and specialists.