Strongyloidiasis is unique among parasitic infections — it can persist for decades through autoinfection without any new exposure. Ivermectin achieves 94 to 100 percent cure rates vs only 45 to 65 percent for Albendazole, making it the clear first-line treatment. This complete guide covers symptoms including the distinctive larva currens rash, the weight-based dosage table, the Day 1 and Day 14 protocol, and the critical hyperinfection risk in immunocompromised patients.