Can you cough up strongyloides?

Yes but ...: Strongyloidiasis is endemic in tropical and subtropical regions. Worm burden in immunocompromised patient's via autoinfection can lead to hyperinfection where there is a massive dissemination of filariform lavarae to the lungs heart , central nervous system. Most immunocompetent patients do not experience such a graphic picture. Go to a dr for treatment.

My understanding...: ...is that the most usual route of infection is through skin contact with infective larvae found in contaminated soil. After penetrating the skin, larvae travel through the blood supply into the lungs, can ascend into the upper airway, and be swallowed to their final habitat, the small intestine. I believe the larvae matures into worms only in the upper small intestine. No coughing up worms!

Coughing can push Strongyloides larvae out bronchial tree & trachea but they are swallowed once they reach the larynx. Although I have heard of Strongyloides being coughed out - can't find any case studies for this. Paragonimiasis (Lung Fluke) eggs can be coughed up in sputum. Ascaris lumbricoides has been described as emerging orally.