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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2015  |  Volume : 26  |  Issue : 1  |  Page : 98-102
Strongyloides stercoralis infection in kidney transplant recipients

Department of Pathology and Laboratory Medicine, Multi-Organ Transplant Center, Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia

Correspondence Address:
Dr. Baha A Abdalhamid
Department of Pathology and Laboratory Medicine, King Fahad Specialist Hospital, P. O. Box 15215 MBC 35, Dammam 31444
Saudi Arabia
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DOI: 10.4103/1319-2442.148752

PMID: 25579724

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Strongyloides stercoralis is an uncommon infection in Saudi Arabia. It can establish latency and cause an autoinfection in humans that lasts for years. The infection can get reactivated during immunosuppression and can result in a life-threatening Strongyloides hyperinfection syndrome. We present three cases of renal transplant recipients who developed Strongyloides infection following transplantation. A bronchoalveolar lavage specimen, a duodenal biopsy and/or a stool specimen from these patients revealed evidence of S. stercoralis larvae. The first two patients received kidneys from the same deceased donor, a native of Bangladesh, an area that is highly endemic for S. stercoralis. The data suggest that the first two cases might be donor derived. High-risk donors and recipients should be screened for Strongyloides infection to initiate treatment before transplantation thus reducing morbidity and mortality.

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