Strongyloides stercoralis

Ready to upload
Record number: 
Adverse Occurrence type: 
MPHO Type: 
Time to detection: 
72 days
Alerting signals, symptoms, evidence of occurrence: 
Fever, vomiting, diarrhea and diffuse petechial rash over the lower abdomen, buttocks and thighs.
Demonstration of imputability or root cause: 
S. stercoralis larvae were detected in duodenal aspirates, biopsies obtained by EGD, bronchial washings, cerebrospinal fluid, urine and stool specimens. Donor serology was strongly positive for S. stercoralis antibodies on retrospective testing while all pretransplant recipient serum were negative. Following detection of infection in heart and kidney–pancreas recipients at two different transplant centers, this third recipient from the same donor was identified, diagnosed and promptly treated.
Imputability grade: 
3 Definite/Certain/Proven
Suggest references: 
Le, al (2014). Single Donor-Derived Strongyloidiasis in Three Solid Organ Transplant Recipients: Case Series and Review of the Literature. Am J Transplant Mar 10, DOI 10.1111/ajt.12670.