What is the primary symptom of a strongyloides infection?

The primary symptom of a Strongyloides infection, specifically Strongyloides stercoralis, is gastrointestinal discomfort. This is due to the lifecycle of the parasite and its presence in the intestines, where it can cause inflammation, diarrhea, and abdominal pain. The parasite can also lead to more systemic symptoms if it disseminates, but the gastrointestinal symptoms are the most consistent and common initial manifestations of infection.

While skin rash, severe fatigue, and high fever can occur with other infections or conditions, they are not the hallmark symptoms of Strongyloides infection. Skin manifestations typically happen in certain stages, such as during the larval migration, but they are not as predominant or primary as gastrointestinal symptoms. Similarly, severe fatigue and high fever are more relevant in other types of infections or illnesses.