Hindawi Publishing Corporation Case Reports in Transplantation

Copyright © 2013 Bhalaghuru ChokkalingamMani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Strongyloides is a parasite that is common in tropical regions. Infection in the immunocompetent host is usually associatedwithmild gastrointestinal symptoms. However, in immunosuppressed individuals it has been known to cause a “hyperinfection syndrome” with fatal complications. Reactivation of latent infection and rarely transmission from donor organs in transplanted patients have been suggested as possible causes. Our case highlights the importance suspecting Strongyloides in transplant recipients with atypical presentations and demonstrates an incidence of donor derived infection.We also review the challenges associated withmaking this diagnosis. 1. Case A 60-year-old Hispanic male originally from Puerto Rico with end-stage ischemic cardiomyopathy status postortho-topic heart transplantation (OHT) in July 2012 presented 2 months after transplant with fatigue and malaise. On arrival he appeared ill but afebrile. He had an episode of hemoptysi