A Devastating Rash in an Immunocompromised Host

A 47-year-old man with Dermatomyositis presents with a rash, abdominal pain, melena, and hemoptysis. Explore this complex case of hyperinfection.

Strongyloides stercoralis


A 47-year-old Laotian man with a history of dermatomyositis presented with a 4-day history of abdominal pain, fever, melena, and hemoptysis and a 2-week history of rash. A punch biopsy of the rash revealed the findings seen here. What is the diagnosis?

What is the most likely diagnosis?

Taenia solium
Entamoeba histolytica
Capillaria
Trichuris trichuria
Strongyloides stercoralis

Dermatomyositis, Hyperinfection Syndrome, Immunosuppression, Melena, Strongyloides stercoralis

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