Case Report

Strongyloides stercoralis and Organ Transplantation

Table 4

Currently available strongyloides diagnostic studies.

Diagnostic testSensitivity/specificityAdvantagesDisadvantages

Stool smear Baermann [20]75%Easily obtainedRequires multiple specimens to improve sensitivity and specificity

ELISA IgG [21]97% sensitivity
95% specificity
High sensitivity
High specificity
False negatives
Other filarial reactions can cause false positivity
Remains positive for extended periods even after treatment

Stool on Agar plate culture [1, 22]96% sensitivityHigh sensitivityRequires at least 2 days

PCR [23, 24]>95% sensitivity
>95% specificity
High specificity
Becomes negative after successful treatment
Not all diagnostic centers are equipped to perform test

Luciferous immunoprecipitation
System [21]
97% sensitivity
100% specificity
<2.5 hours
High sensitivity and Specificity
Seroconversion after treatment
Not all labs have capability to perform test