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Rash, diarrhea, and eosinophilia
A parasitic infection was high on our differential because of the patient’s refugee status. But an earlier O&P test had been negative.
Second, the mentioned symptoms of “rash, diarrhea, and eosinophilia” can be due to several etiologies and may have been caused by a completely separate illness. Or the findings might have been due to a forgotten condition, such as post-dengue infection illness.2
Finally, the existence of strongyloidiasis in the case presented by Soin, et al, could have been an incidental finding without a relationship to the exact pathology.
Viroj Wiwanitkit, MD
Bangkok, Thailand