Strongyloides Stercoralis—Hyperinfection

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  • Sections of Gastroenterology and Nephrology, University of South Florida, Tampa, Florida 33612

A case of severe Strongyloides stercoralis infection is described in a patient with renal failure due to bilateral cortical necrosis. Because thiabendazole, the drug of choice in strongyloidiasis, is primarily excreted by the kidneys, alternative therapy with mebendazole was instituted. Although the patient eventually died as a result of the renal failure, successful therapy with mebendazole was well demonstrated.