A Hidden Infection Unmasked

A 64-year-old on steroids for cancer develops a rash and diarrhea. Explore the diagnosis of an Opportunistic Infection in an immunocompromised patient.

Larva currens from Strongyloides


A 64-year-old man with metastatic lung adenocarcinoma who had recently started high-dose steroids for malignant spinal cord compression developed an itchy rash and diarrhea. He had a 3-year history of intermittent peripheral eosinophilia of unknown cause. What is the most likely diagnosis?

What is the most likely diagnosis?

Cutaneous larva migrans
Cutaneous schistosomiasis
Larva currens from Strongyloides
Lichen striatus
Scabies

Eosinophilia, Hyperinfection Syndrome, Immunosuppression, Larva currens from Strongyloides, Strongyloidiasis

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