Affiliations: Department of Pediatrics, Alexandra Hospital, Woodrow
Drive, Redditch, B98 7UB, UK. Tel.: +44 1527 503030; E-mail:
tomcdawson@yahoo.co.uk
Abstract: In 2005, a 13-year-old child presented with a 1-day history of fever
and encephalopathy and later, abdominal pain. We report a case of
strongyloides, one of only 17 cases reported in the UK that year. The
presentation was consistent with a heavy strongyloides infection, seen
occasionally with a high nematode load, in this case Enterobius
vermicularis. It is an illness of the tropics and rare in an indigenous
setting. We suggest that the diagnosis should be considered in children
presenting with signs of sepsis.