Abstract

POCATERRA, Leonor et al. Larvas rabditoides de Strongyloides stercoralis en orina en paciente con riñón trasplantado y estrongiloidiasis diseminada. Rev Med Hered [online]. 2016, vol.27, n.1, pp.35-40. ISSN 1018-130X.

Strongyloides stercoralis, an intestinal nematode prevalent in tropical and subtropical zones, remains clinically silent or mildly symptomatic in immunecompetent individuals. In contrast, clinical dissemination and/or hyperinfection may induce severe widespread damage and fatal outcomes in immunecompromised hosts. This report describes a 53-year-old male renal transplant recipient, in whom standard immunosuppressive therapy did not prevent development of acute nephritis also coinciding with appearance of larvae in fecal smears. During a 3-days sequential copro-parasitological testing S. stercoralis larvae were identified in Baermann and agar culture tests simultaneously with rhabditiform larvae of S. stercoralis in his urinary sediment. Significant improvement of renal dysfunction with ivermectin therapy highlights the importance of incorporating S. stercoralis screening in pre-transplant protocols and post-transplant complications.

Keywords : Strongyloides stercoralis; transplantation; urine.

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