Strongyloides stercoralis

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Record number: 
Adverse Occurrence type: 
MPHO 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.
Imputability grade: 
3 Definite/Certain/Proven
Suggest references: 
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.