Strongyloides stercoralis infection in an intestinal transplant recipient
Journal
Transplant Infectious Disease
Journal Volume
15
Journal Issue
4
Pages
E139-E143
Date Issued
2013
Author(s)
Abstract
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. ? 2013 John Wiley & Sons A/S.
Subjects
Donor-derived infection; Intestinal transplantation; Strongyloides stercoralis
SDGs
Other Subjects
ivermectin; methylprednisolone; tacrolimus; thymocyte antibody; adolescent; article; case report; eosinophilia; feces analysis; female; graft recipient; human; ileostomy; intestine transplantation; low drug dose; medical history; priority journal; short bowel syndrome; stoma; strongyle infection; strongyloidiasis
Type
journal article