Strongyloides pre-immunosuppression — RACP Paediatrics MCQ

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HardIDStrongyloides pre-immunosuppressionRACP Paediatrics

A 4-year-old from a remote Aboriginal community with chronic Strongyloides is about to start immunosuppression for nephrotic syndrome. What must be done first?

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Correct answer: A — Ivermectin

Strongyloides must be treated before immunosuppression to prevent fatal hyperinfection syndrome. Ivermectin 200 mcg/kg daily for 2 days.

Reference: Australian Therapeutic Guidelines – 2024