Abstract
Donor-derived Strongyloides stercoralis infection occurs rarely after transplantation and can lead to potentially fatal hyperinfection syndrome.1,2 We present a case of a 29-year-old man who was in a critical state due to Strongyloides stercoralis hyperinfection after receiving simultaneous kidney-pancreas transplant. The diagnosis was established following cytologic examination of a bronchoalveolar lavage (BAL) specimen showing numerous typical larvae of Strongyloides stercoralis. This illustrates the importance of a thorough examination of BAL and careful search for Strongyloides stercoralis in immunocompromised patients, particularly when the donor has lived in an endemic area.
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