Strongyloides stercoralis infection in an intestinal transplant recipient.

TitleStrongyloides stercoralis infection in an intestinal transplant recipient.
Publication TypeJournal Article
Year of Publication2013
AuthorsHsu CN, Tseng SH, Chang SW, Chen Y
JournalTransplant infectious disease : an official journal of the Transplantation Society// Transpl Infect Dis
PaginationE139 - 43
Date Published2013//
ISBN Number1399-3062
Other Numbersd1d, 100883688
Keywords*Intestines/tr [Transplantation], *Organ Transplantation/ae [Adverse Effects], *Strongyloides stercoralis/ip [Isolation & Purification], *Strongyloidiasis/di [Diagnosis], Adolescent, Animals, Anthelmintics/tu [Therapeutic Use], Female, Humans, Intestines/ps [Parasitology], Ivermectin/tu [Therapeutic Use], Strongyloidiasis/ps [Parasitology], Strongyloidiasis/tm [Transmission], Tissue Donors

Strongyloides stercoralis is a helminth in tropical and subtropical areas. It may cause latent infection and progress to Strongyloides hyperinfection syndrome, which is associated with a high mortality rate. Transplant recipients under the treatment of immunosuppressant agents are at risk of severe S. stercoralis infection. According to related literature, most cases of S. stercoralis infection after solid organ transplantation are caused by reactivation of latent infections in the recipients, whereas only a few are acquired from the donors. We report on an intestinal transplant recipient who had S. stercoralis infection diagnosed by a larva of this parasite found in the stool from the ileostomy stoma 1 month after transplantation. The donor was considered the source of the infection because the donor was from an endemic area and had marked eosinophilia, and the recipient had no contact history or clinical manifestations related to the S. stercoralis infection before transplantation. The patient was treated with ivermectin and exhibited no evidence of infection after 7 months.Copyright © 2013 John Wiley & Sons A/S.

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