{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:27:09Z","timestamp":1761744429065,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,11,8]]},"abstract":"<jats:p>Immunocompromised patients have high risk of infections from bacteria, viruses, fungi and parasites. One of these infections is those caused by <jats:italic>Strongyloides stercoralis<\/jats:italic>. 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.<\/jats:p>","DOI":"10.1136\/bcr-2016-216634","type":"journal-article","created":{"date-parts":[[2017,1,16]],"date-time":"2017-01-16T06:41:17Z","timestamp":1484548877000},"page":"bcr2016216634","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Strongyloides hyperinfection syndrome and VRE pneumonia"],"prefix":"10.1136","volume":"2017","author":[{"given":"Mohannad","family":"Abu Omar","sequence":"first","affiliation":[{"name":"Department of Pulmonary and Critical Care, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouhanna","family":"Abu Ghanimeh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sola","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care, University of Missouri-Kansas City, Kansas City, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,16]]},"reference":[{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1093\/qjmed\/hct124","article-title":"Strongyloides stercoralis in sputum","volume":"107","author":"Cheong","year":"2013","journal-title":"QJM"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.2","doi-asserted-by":"publisher","DOI":"10.1309\/LMI9K52DIHXTDSYU"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.3","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.17.1.208-217.2004"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-005-0070-2"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.5","doi-asserted-by":"crossref","first-page":"545","DOI":"10.2214\/ajr.161.3.8352101","article-title":"Pulmonary strongyloidiasis: an unusual opportunistic pneumonia in a patient with AIDS","volume":"161","author":"Makris","year":"1993","journal-title":"AJR Am J Roentgenol"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.6","first-page":"860976","article-title":"Fatal strongyloides hyperinfection complicating a gram-negative sepsis after allogeneic stem cell transplantation: a case report and review of the literature","volume":"2013","author":"Izquierdo","year":"2013","journal-title":"Case Rep Hematol"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.5.3681"},{"key":"2025082722055780000_2017.jan16_1.bcr2016216634.8","doi-asserted-by":"crossref","first-page":"398","DOI":"10.12659\/AJCR.893729","article-title":"Wait!!! 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