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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.
Two case series of 33 and 70 patients with strongyloidiasis found that 51% and 64%, respectively, had no symptoms. 2 11 In such cases the only sign of infection is an increased peripheral blood eosinophil count.