Do you administer empiric ivermectin simultaneously with urgent high-dose corticosteroids in a patient from a strongyloides-endemic region who requires immediate immunosuppression and has no prior screening?

Yes.

Generally speaking, I do not. I think we learned a lot from COVID in this sense, where often high-dose steroids were started without ivermectin, and cases of disseminated strongyloides were rare. That being said, ivermectin is a relatively safe and inexpensive medication, and thus, I think if there ...