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Case Reports in Transplantation
Volume 2013 (2013), Article ID 549038, 6 pages
http://dx.doi.org/10.1155/2013/549038
Case Report

Strongyloides stercoralis and Organ Transplantation

1Section of Cardiology, Temple University School of Medicine, Philadelphia, PA 19140, USA
2Section of Infectious Diseases, Temple University School of Medicine, Philadelphia, PA 19140, USA
3Advanced Heart Failure & Transplantation, Temple University School of Medicine, 3401 North Broad Street, Parkinson Pavilion, 9th Floor, Philadelphia, PA 19140, USA
4Section of Cardiothoracic Surgery, Temple University School of Medicine, Philadelphia, PA 19140, USA
5Department of Pathology, Temple University School of Medicine, Philadelphia, PA 19140, USA

Received 16 April 2013; Accepted 7 May 2013

Academic Editors: J. Akoh, I. Engelmann, and G. Forrest

Copyright © 2013 Bhalaghuru Chokkalingam Mani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Strongyloides is a parasite that is common in tropical regions. Infection in the immunocompetent host is usually associated with mild gastrointestinal symptoms. However, in immunosuppressed individuals it has been known to cause a “hyperinfection syndrome” with fatal complications. Reactivation of latent infection and rarely transmission from donor organs in transplanted patients have been suggested as possible causes. Our case highlights the importance suspecting Strongyloides in transplant recipients with atypical presentations and demonstrates an incidence of donor derived infection. We also review the challenges associated with making this diagnosis.