CHARLES H. SCOGGIN, M.D.; N. BRANSON CALL, M.D.
Patients receiving renal transplants are subject to unusual opportunistic infections as a consequence of immunosuppression. These infections may present with respiratory manifestations and be confused with other illnesses.
We describe here a patient who rapidly developed bilateral pulmonary infiltrates and progressive respiratory insufficiency in whom sputum examination, and later autopsy, revealed Strongyloides stercoralis.
A 45-year-old man underwent cadaveric renal transplantation at Duke University Medical Center for chronic renal failure. Pretransplantation evaluation showed 3 to 5 eosinophils/100 leukocytes, but the cause was not investigated. Posttransplantation recovery was uneventful except for a mild episode of transplant rejection, which was treated with high-dose
SCOGGIN CH, CALL NB. Acute Respiratory Failure Due to Disseminated Strongyloidiasis in a Renal Transplant Recipient. Ann Intern Med. ;87:456–458. doi: 10.7326/0003-4819-87-4-456
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Published: Ann Intern Med. 1977;87(4):456-458.
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