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Adverse Occurrence type:
Time to detection:
30 - 60 days
Alerting signals, symptoms, evidence of occurrence:
Fever, nausea, vomiting, abdominal pain, diarrhea, odynophagia, reflux esopahgitis, bibasal pulmonary opacities. One recipient had leucopenia with bandemia and eosinophilia. Treatment with ivermectin and albendazole, with response.
Demonstration of imputability or root cause:
Common donor from Honduras, positive for S. stercoralis antibodies on retroscpective testing. Seroconversion in both kidney recipients, plus S. stercoralis isolated from stool, gastric fluid, pulmonary secretions.
Roseman, D.A., Kabbani, D., Kwah, J., Bird, D., Ingalls, R., Gautam, A., Nuhn, M. and Francis, J.M. (2013). Strongyloides stercoralis transmission by kidney transplantation in two recipients from a common donor. Am J Transplant 13(9):2483-6.