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Strongyloidiasis
[Strongyloides stercoralis]

Infective, third-stage filariform larvae (L3) of Strongyloides stercoralis are up to 600 µm long.  The tail is notched and the esophagus to intestine ratio is 1:1.  Infective L3 larvae are found in soil and invade the human host by direct penetration of the skin.  They may be found in respiratory specimens during cases of autoinfection.

S. stercoralis filariform larva S. stercoralis filariform larva, Giemsa stain

A

B

A: Filariform (L3) larva of S. stercoralis in an unstained wet mount.
B: Filariform (L3) larva of S. stercoralis in a sputum specimen, stained with Giemsa.  Image taken at 200x magnification.

S. stercoralis filariform larva, Giemsa stain

C

C:  Higher magnification (1000x oil) of the worm in Figure B.  Notice the notched tail.

 

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