Strongyloidiasis hyperinfection after renal transplant presenting as diffuse alveolar hemorrhage with respiratory failure. Issue 3 (3rd July 2019)

• Record Type: Journal Article
• Authors: Hakeem, Imtiyaz; Moritz, Charles; Khan, Faiza; Garrett, Erin; Narayanan, Mohanram
• Is Part Of: Proceedings. Volume 32:Issue 3(2019)
• Page Start: 413
• Page End: 416
• Publication Date: 2019-07-03
• Subjects: Filariform larvae -- hyperinfection -- larva currens -- pulmonary hemorrhage -- strongyloidiasis; Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2019.1596440
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract: Strongyloides stercoralis is a helminthic enteric parasite estimated to infect at least 30 to 100 million people globally. It is transmitted via contaminated soil with a unique ability to complete its entire life cycle in the human host. It is common in humid, tropical, and subtropical regions of the world and is endemic in the Southeastern United States. Strongyloidiasis hyperinfection has been described in a variety of conditions that impair host immunity, including immunosuppression after transplantation. The syndrome has a high mortality rate but may initially present with nonspecific symptoms. A high degree of clinical suspicion coupled with early detection and aggressive therapeutic measures is paramount to a successful outcome.