@article {711, title = {Treatment of Strongyloides stercoralis hyperinfection-associated septic shock and acute respiratory distress syndrome with drotrecogin alfa (activated) in a renal transplant recipient}, journal = {Transpl Infect Dis}, volume = {11}, year = {2009}, note = {Huston, J M Eachempati, S R Rodney, J R Cayci, C Fusco, D Mathew, M Shou, J Goldstein, M J Kapur, S Barie, P S Case Reports Denmark Transplant infectious disease : an official journal of the Transplantation Society Transpl Infect Dis. 2009 Jun;11(3):277-80. Epub 2009 Apr 8.}, month = {Jun}, pages = {277 - 80}, edition = {39931}, abstract = {We report a case of Strongyloides stercoralis hyperinfection syndrome in a renal transplant recipient complicated by septic shock, acute respiratory distress syndrome, and Klebsiella pneumoniae superinfection. The patient was treated successfully with drotrecogin alfa (activated), parenteral ivermectin, albendazole, and piperacillin/tazobactam. This outcome suggests that drotrecogin alfa (activated) may be useful therapy for transplant recipients who develop severe sepsis or septic shock secondary to potentially lethal opportunistic infections.}, keywords = {Aged, 80 and over, Albendazole / therapeutic use, Animals, Anti-Infective Agents / therapeutic use, Drug Therapy, Combination, Female, Fibrinolytic Agents / administration \& dosage / *therapeutic use, Humans, Ivermectin / therapeutic use, Kidney Transplantation / *adverse effects, Klebsiella Infections / complications / microbiology, Klebsiella pneumoniae / drug effects, Penicillanic Acid / analogs \& derivatives / therapeutic use, Piperacillin / therapeutic use, Protein C / administration \& dosage / *therapeutic use, Recombinant Proteins / administration \& dosage / therapeutic use, Respiratory Distress Syndrome, Adult / *drug therapy, Shock, Septic / *drug therapy, Strongyloides stercoralis / *drug effects, Strongyloidiasis / *complications / drug therapy / parasitology, Superinfection / *complications / microbiology / parasitology, Treatment Outcome}, issn = {1399-3062 (Electronic) 1398-2273 (Linking)}, doi = {TID386 [pii] 10.1111/j.1399-3062.2009.00386.x}, author = {Huston,J. M. and Eachempati,S. R. and Rodney,J. R. and Cayci,C. and Fusco,D. and Mathew,M. and Shou,J. and Goldstein,M. J. and Kapur,S. and Barie,P. S.} }