Korean J Med.  2009 Apr;76(4):502-505.

Pulmonary Strongyloidiasis with alveolar hemorrhage in a patient receiving chemotherapy

Affiliations
  • 1Division of Hemato-oncology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. silk.ahn@samsung.com

Abstract

Strongyloides stercoralis is an intestinal nematode that infects a large portion of the world's population, especially in tropical areas and other hot, humid regions. In immunocompromised patients, the parasite is augmented by autoinfection, resulting in hyperinfection or systemic dissemination. Pulmonary hemorrhage is a rare presentation of Strongyloides hyperinfection. We experienced a case of Strongyloides hyperinfection with alveolar hemorrhage in an immunocompromised patient. A 63-year-old man with small cell lung carcinoma on chemotherapy presented with abdominal pain and dyspnea. He developed a pulmonary hemorrhage and migrating pneumonia 1 week later, and bronchoalveolar lavage cytology revealed helminthic larvae identified as Strongyloides. The patient received albendazole therapy for 6 weeks, and the Strongyloides hyperinfection and pneumonia were resolved.

Keyword

Strongyloides; Hemoptysis; Immunocompromised patient

MeSH Terms

Abdominal Pain
Albendazole
Bronchoalveolar Lavage
Dyspnea
Helminths
Hemoptysis
Hemorrhage
Humans
Immunocompromised Host
Larva
Middle Aged
Parasites
Pneumonia
Small Cell Lung Carcinoma
Strongyloides
Strongyloides stercoralis
Strongyloidiasis
Albendazole
Full Text Links
  • KJM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr