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Acta Médica Peruana
On-line version ISSN 1728-5917
Abstract
PAZ ROJAS, Enrique et al. Disseminated Strongyloides stercoralis infection in two persons receiving transplanted kidneys from a single donor: reported cases. Acta méd. Peru [online]. 2017, vol.34, n.3, pp.225-230. ISSN 1728-5917.
A Strongyloides stercoralis infection acquired from the donor in a transplant receptor is not a common occurrence, but its complications have been well known. We report two cases of disseminated strongyloidiasis derived from a single cadaveric donor at two renal transplant recipients. Both patients presented gastrointestinal and respiratory symptoms plus dermatological lesions in the abdominal region. The diagnosis was based on the finding of larvae in bronchopulmonary lavage, dermatological lesions, and duodenal aspiration. Despite the oral administration of albendazole and ivermectin, the clinical course was fatal in one of them. The second patient received precociously ivermectin by subcutaneous administration and survived with persistent bowel failure
Keywords : Strongyloides stercoralis; Kidney transplantation; Tissue donors.