01652nas a2200181   4500008003900000245011900039210006900158260000800227300000600235490000700241520109100248100001501339700001401354700002001368700002201388700001501410856004501425       2016                          d00aDonor-derived Strongyloides stercoralis hyperinfection syndrome after simultaneous kidney/pancreas transplantation0 aDonorderived Strongyloides stercoralis hyperinfection syndrome a  cOct  a90 v513 aMost cases of strongyloidiasis associated with solid organ transplantation have been due to the reactivation of a latent infection in the recipient as a result of the immunosuppressive therapy; however, donor-derived infections are becoming increasingly frequent. The case of a patient who nearly died of a Strongyloides stercoralis hyperinfection after receiving simultaneous kidney/pancreas transplants is described herein. No specific parasitological tests were performed pre-transplantation, despite the fact that both the recipient and the donor originated from endemic areas. Serological analysis of the donor's serum performed retrospectively revealed the origin of the infection, which if it had been done beforehand would have prevented the serious complications. Current practice guidelines need to be updated to incorporate immunological and molecular techniques for the rapid screening of Strongyloides prior to transplantation, and empirical treatment with ivermectin should be applied systematically when there is the slightest risk of infection in the donor or recipient.1 aGaliano, A1 aTrelis, M1 aMoya-Herraiz, A1 aSanchez-Plumed, J1 aMerino, JF  uhttps://notifylibrary.org/reference/4677