title: Strongyloidiasis in a young French woman raises concern about possible ongoing autochthonous transmission in Spain.
abstract: Strongyloidiasis is one of the most common geohelminth infections in tropical and subtropical areas. Accurate diagnosis remains challenging, leading to an overall underestimation of strongyloidiasis prevalence. The possibility of ongoing autochthonous transmission in some temperate areas and especially in southern Europe is still debated, and data supporting this hypothesis are scarce. The case of a young French woman, who had travelled frequently to Spain and had acquired Strongyloides stercoralis infection as revealed by gastrointestinal symptoms and hypereosinophilia, is reported here. Physicians should keep in mind the risk of being infected in some areas of southern Europe, even if low, in order to avoid the life-threatening manifestations of strongyloidiasis favoured by pathological or therapeutic immunosuppression.
authors.affiliation: Tropical Diseases and Travel Clinics, Infectious Diseases Department, Hôpital Pellegrin, CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; Centre René Labusquière, Tropical Medicine and Hygiene, Bordeaux University, Bordeaux, France. Electronic address: alex.duvignaud@gmail.com.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Duvignaud
authors.affiliation: Tropical Diseases and Travel Clinics, Infectious Diseases Department, Hôpital Pellegrin, CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Pistone
authors.affiliation: Tropical Diseases and Travel Clinics, Infectious Diseases Department, Hôpital Pellegrin, CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France; Centre René Labusquière, Tropical Medicine and Hygiene, Bordeaux University, Bordeaux, France.
authors.forename: Denis
authors.initials: D
authors.lastname: Malvy
mesh_terms: D000293:Adolescent; D000818:Animals; D005260:Female; D006801:Humans; D013030:Spain / Q000453:epidemiology; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000635:transmission*; D014195:Travel
keywords: Eosinophilia; Spain; Strongyloidiasis