Disseminated strongyloidiasis in a patient with acquired immunodeficiency syndrome.

Strongyloides stercoralis, the "human threadworm," is an intestinal helminth with an estiestiglobal prevalence of 3 to 30 million.1It is endemic to regions in the tropics and subtropics, including areas with high human immunodeficiency virus (HIV) prevalence, such as sub-Saharan Africa.Strongyloidesparasites may cause disseminated systemic infection in immunocompromised patients. Less than 20 cases of disseminated strongyloidiasis have occurred in patients with acquired immunodeficiency syndrome (AIDS), and all but 2 cases were fatal.2Moreover, only 2 skin eruptions have been reported, neither of which was confirmed as cutaneous infestation by biopsy. Report of a Case. A 25-year-old transsexual man who used intravenous drugs and had AIDs (CD4 T-helper cell count, 0.07 × 109/L [70 cells/μL]), was hospitalized with gastrointestinal complaints and a 14-kg weight loss. The patient emigrated from Mexico at age 3 years and had intestinal strongyloidiasis 1 year previously. His male sexual