Case Report

Strongyloides stercoralis and Organ Transplantation

Table 3


SourceAllograftTime from transplantDemographic risk factorPresenting featureDiagnostic test Treatment Outcome

Said et al. [14]Kidney48 daysCadaveric donor from South AsiaSHS BAL examinationOral and rectal albendazole/ivermectinDeath
Kidney90 daysCadaveric donor from South AsiaSHSBAL examinationOral and rectal albendazole/ivermectinDeath
Kidney92 daysSHSBAL examinationOral and rectal albendazole/ivermectinDeath

Huston et al. [15]Kidney90 daysCadaveric donor from Puerto RicoFever and respiratory distressBAL examinationOral and rectal albendazole/ivermectin
Trial of veterinary ivermectin (after case-specific FDA approval) × 3 doses
Successful treatment

Hoy et al. [16] Kidney
Kidney
33 days
64 days
NoneDiarrhea and fever
Cough and fever
Stool analysis
Urine analysis
Thiabendazole × 5 d
Thiabendazole × 5 d
Death
Successful treatment

Patel et al. [17]Intestine9 monthsDonor from HondurasNausea/vomiting and abdominal discomfort
Fevers
Small bowel and colon endoscopic biopsy
BAL examination
Oral ivermectin/thiabendazole and rectal ivermectin × 10 dSuccessful treatment initially but died later during the same hospitalization due to acinetobacter bacteremia

Ben-Youssef et al. [18]Pancreas49 daysDonor was immigrant to the USAHematuria and epigastric painDuodenal biopsyOral thiabendazole/ivermectin × 7 dSuccessful treatment

Brügemann et al. [12]Heart 6 weeksDonor from SurinamAbdominal pain and rashSkin biopsyOral ivermectin × 15 d
Oral albendazole × 10 d
Successful treatment

Rodriguez-
Hernandez et al. [19]
Liver2.5 monthsDonor from EcuadorAnorexia and diarrheaSputum and stool sample examinationOral albendazole/ivermectin × 2 weeks, then ivermectin only × 2 weeks, followed by intermittent ivermectin secondary prophylaxisSuccessful treatment

SHS: Strongyloides hyperinfection syndrome.
BAL: bronchoalveolar lavage.