title: StrongyloidesHyperinfection Syndrome Combined with Cytomegalovirus Infection.
abstract: The mortality inStrongyloideshyperinfection syndrome (SHS) is alarmingly high. This is particularly common in bone marrow, renal, and other solid organ transplant (SOT) patients, where figures may reach up to 50-85%. Immunosuppressives, principally corticosteroids, are the primary triggering factor. In general, the clinical features ofStrongyloides stercoralishyperinfection are nonspecific; therefore, a high index of suspicion is required for early diagnosis and starting appropriate therapy. Although recurrent Gram-negative sepsis and meningitis have been previously reported, the combination of both cytomegalovirus (CMV) and strongyloidiasis had rarely been associated. We here describe a patient who survived SHS with recurrentEscherichia coli(E. coli) urosepsis and CMV infection.
authors.affiliation: Division of Infectious Diseases, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.
authors.forename: Fatehi Elnour
authors.identifier: 0000-0002-0465-3004
authors.initials: FE
authors.lastname: Elzein
authors.affiliation: Division of Infectious Diseases, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Alsaeed
authors.affiliation: Division of Infectious Diseases, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.
authors.forename: Sulafa
authors.initials: S
authors.lastname: Ballool
authors.affiliation: Department of Nephrology, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Attia