Transmission of Strongyloides stercoralis Through Transplantation of Solid Organs – Pennsylvania, 2012.
Strongyloides is an intestinal nematode that is endemic in tropical areas. Most infected persons are asymptomatic. However, in immunocompromised, the infection can become disseminated and fatal. Infected organ donors can transmit Strongyloides to recipients and this has been described in the past. This report describes three organ recipients who were diagnosed with Strongyloides. Serum from their common donor was positive for Strongyloides serology. The donor was originally from Puerto Rico and had died of gunshot wounds. Strongyloides infection was not considered at the time of organ recovery and the diagnosis was made based on stored serum. This report highlights the importance of obtaining serology for Strongyloides from donors that are from endemic areas. It also highlights the importance of having stored samples from donors that can be used retrospectively. In addition, it shows the importance of communication between organ groups and centers when a donor-derived infection is suspected.