Proctor E M, Muth H A, Proudfoot D L, Allen A B, Fisk R, Isaac-Renton J, Black W A
CMAJ. 1987 Jun 1;136(11):1173-6.
The incidental finding in 1984 of Strongyloides stercoralis larvae in a resident of a chronic care institution who had a vague clinical illness prompted a review of the other residents. Five other cases were identified after exhaustive laboratory investigations. Fecal-oral spread was considered the most likely manner of the spread of infection. The possibility of endemic strongyloidiasis in institutions should be considered, even in temperate climates, when there is unexplained persistent illness or high eosinophil counts. Serologic testing is a useful adjunct to fecal examination in such situations.
1984年，在一家慢性病护理机构中，一名患有不明临床疾病的居民体内偶然发现了粪类圆线虫幼虫，这促使对其他居民进行了检查。经过详尽的实验室调查，又发现了另外5例病例。粪-口传播被认为是最可能的感染传播方式。即使在温带气候地区，当出现无法解释的持续性疾病或嗜酸性粒细胞计数升高时，也应考虑机构内存在地方性粪类圆线虫病的可能性。在这种情况下，血清学检测是粪便检查的有用辅助手段。
