The Division of Commissions, Legislation and Notaries of the Bureau of Commissions, Elections and Legislation administers the duties imposed on the Secretary of the Commonwealth by Pennsylvania's Notary Public Law.
The initial symptoms of strongyloides hyperinfection syndrome may include fever, haemoptysis, and wheeze. A chest radiograph may reveal pulmonary infiltrates, which can represent a combination of oedema, haemorrhage, and pneumonitis.
Approach Considerations. All persons found to harbor Strongyloides organisms should be treated, even if they are asymptomatic, because of the risk of hyperinfection. However, for infected pregnant patients, clinicians may prefer to defer treatment for strongyloidiasis until after the first trimester.