Strongyloides stercoralis infection presenting as protein losing enteropathy

Strongyloides sterocoralis infection poses significant diagnostic challenges, particularly in resource-limited settings where the condition is most prevalent. We present a young male in South Africa who developed a protein-losing enteropathy secondary to Strongyloides hyperinfection, making the first reported presentation of this kind in South Africa. The broad spectrum of potential clinical manifestations complicates this treatable condition's prompt recognition and diagnosis. Despite its therapeutic simplicity, data indicates that the prevalence of Strongyloides infection is significantly overlooked and underreported, highlighting the need for increased clinical awareness and improved diagnostic capabilities in endemic regions.