Strongyloides stercoralis hyperinfection syndrome after liver transplantation: case report and literature review |
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Authors: | EG Vilela WT Clemente RRL Mira HOG Torres LF Veloso LP Fonseca LR de Carvalho e Fonseca MdC Franca AS Lima |
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Institution: | Transplant Unit, Alfa Institute of Gastroenterology, Clinic Hospital, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil |
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Abstract: | Abstract: 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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Keywords: | Strongyloides hyperinfection liver transplantation ivermectin treatment |
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