Strongyloides stercoralis hyperinfection syndrome after liver transplantation: case report and literature review

E G Vilela, W T Clemente, R R L Mira, H O G Torres, L F Veloso, L P Fonseca, L R de Carvalho E Fonseca, M d C Franca, A S Lima
Transplant Infectious Disease: An Official Journal of the Transplantation Society 2009, 11 (2): 132-6
Strongyloides stercoralis is an intestinal nematode that causes human infections and whose life cycle has special features, including autoinfection. Strongyloides infection may be asymptomatic for years, owing to a low parasite load. During immunosuppressive therapy, however, if cellular immunity is depressed, autoinfection can occur at a higher rate, resulting in hyperinfection syndrome. In this specific circumstance, it can become a fatal illness. We describe a case of hyperinfection syndrome in a liver transplant recipient and also review the literature.

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