{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T19:49:24Z","timestamp":1791748164025,"version":"4.3.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 51-year-old woman with diabetes, who immigrated to the USA 22\u2005years ago from Laos, was admitted to the hospital for evaluation of fever, abdominal pain, vomiting and diarrhoea. A workup for acute gastroenteritis revealed a positive stool PCR for Shiga toxin-producing<jats:italic>Escherichia coli<\/jats:italic>. Two sets of blood cultures drawn at admission were positive for<jats:italic>E coli<\/jats:italic>. A review of her previous medical records revealed the presence of eosinophilia, up to 20%, 14\u2005years prior to that was never investigated. Therefore, stool samples were examined and two of three specimens were positive for<jats:italic>Strongyloides stercoralis<\/jats:italic>larvae, confirming the diagnosis of<jats:italic>Strongyloides<\/jats:italic>hyperinfection syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2013-200728","type":"journal-article","created":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T06:27:49Z","timestamp":1378880869000},"page":"bcr2013200728","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Shiga toxin producing<i>E coli<\/i>bloodstream infection secondary to<i>Strongyloides<\/i>penetration through intestinal 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