{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:22Z","timestamp":1756276822898,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,21]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Strongyloidiasis is one of the neglected helminths infection that is often underdiagnosed and undertreated. Due to its variable presentation, its diagnosis is often a challenge. We report a case of an immigrant patient with asthma who later developed eosinophilia. After 3\u2009years of unexplained eosinophilia, he developed B symptoms and had frequent asthma exacerbations. He was later diagnosed with strongyloidiasis and treated with ivermectin. His B symptoms resolved, and his asthma exacerbations decreased significantly. Due to the frequent use of corticosteroids in asthma exacerbations, this case illustrates the importance of <jats:italic>Strongyloides<\/jats:italic> screening in asthmatics from high-risk regions. It also displays the importance of further investigating patients with asthma who develop eosinophilia and have frequent exacerbations while on optimal asthma treatment. Having a high index of suspicion is essential when making this diagnosis, as clinical presentation is often variable and does not follow a standard time course.<\/jats:p>","DOI":"10.1136\/bcr-2020-238163","type":"journal-article","created":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T23:30:53Z","timestamp":1607902253000},"page":"e238163","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic strongyloidiasis: a case of B symptoms and recurrent asthma exacerbations"],"prefix":"10.1136","volume":"13","author":[{"given":"Zara","family":"Latif","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, BIDMC, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc J","family":"Crupie","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, The University of Tennessee Health Science Center College of Medicine, Memphis, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"2025082623193017000_13.12.e238163.1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002288"},{"key":"2025082623193017000_13.12.e238163.2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2010.09-0750"},{"key":"2025082623193017000_13.12.e238163.3","doi-asserted-by":"crossref","unstructured":"Mokhlesi B , Shulzhenko O , Garimella P , et al . 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