title: Strongyloides hyperinfection syndrome and VRE pneumonia.
abstract: Immunocompromised patients have high risk of infections from bacteria, viruses, fungi and parasites. One of these infections is those caused by Strongyloides stercoralis Immunocompromised patients are at risk of hyperinfection syndrome which is characterised with more systemic manifestation and a higher risk of morbidity and mortality. This can be complicated by coinfection with enteric organisms, specifically Gram-negative. Enterococci are Gram-positive cocci which are inhabitants of the human gastrointestinal tract. Even though enterococci can cause serious infections in multiple sites, they are a rare cause of pneumonia. We present a case of disseminated strongyloides with vancomycin-resistant enterococcus causing pneumonia. The patient had a complicated course with respiratory failure and septic shock. He died eventually due to his severe infections. After a literature review, we could not find a similar case of coinfection of disseminated strongyloides with vancomycin-resistant enterococcus pneumonia in immune-compromised patients.
authors.affiliation: Department of Pulmonary and Critical Care, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Mohannad
authors.initials: M
authors.lastname: Abu Omar
authors.affiliation: Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Mouhanna
authors.initials: M
authors.lastname: Abu Ghanimeh
authors.affiliation: Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Sola
authors.initials: S
authors.lastname: Kim
authors.affiliation: Department of Pulmonary and Critical Care, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Howell
mesh_terms: D000368:Aged; D001992:Bronchoalveolar Lavage Fluid / Q000469:parasitology; D000072226:Computed Tomography Angiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging; D012131:Respiratory Insufficiency / Q000209:etiology*; D012772:Shock, Septic / Q000209:etiology*; D020521:Stroke / Q000150:complications; D013322:Strongyloidiasis / Q000150:complications* / Q000000981:diagnostic imaging; D015163:Superinfection / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D065507:Vancomycin-Resistant Enterococci