Strongyloides hyperinfection following hematopoietic stem cell transplant in a patient with HTLV-1-associated T-cell leukemia

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• 作者：Jonathan D. Alpern ; Sophie S. Arbefeville ; Gregory Vercellotti ; Patricia Ferrieri and Jaime S. Green
• 刊名：Transplant Infectious Disease
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：19
• 期：1
• 全文大小：271K
• ISSN：1399-3062

文摘

Strongyloides stercoralis has the potential to cause accelerated autoinfection in immunocompromised hosts. Screening tests for strongyloidiasis may be falsely negative in the setting of immunosuppression. We report a case of Strongyloides hyperinfection syndrome in a patient with human T-lymphotropic virus type 1-associated T-cell leukemia early after hematopoietic stem cell transplant. The diagnosis was made by stool ova and parasite examination, despite a negative screening enzyme-linked immunosorbent assay. Because of anticipated prolonged neutropenia, an extended course of treatment was utilized.