SLE with death from acute massive pulmonary hemorrhage caused by disseminated strongyloidiasis.
We describe a case of disseminated strongyloidiasis involving a female patient with active systemic erythematosus (SLE). The cause of death was massive pulmonary hemorrhage induced by a filariform larvae infection. This was initially diagnosed during examination of the bronchoalveolar lavage fluid just 2 days before her death. The case indicated that immunosuppressed individuals would be paid attention to possible parasitic infection prior to starting therapy even in non-endemic areas as well as other microorganisms.
Setoyama
M
M
Department of Dermatology, Faculty of Medicine, Kagoshima University, Japan.
Fukumaru
S
S
Takasaki
T
T
Yoshida
H
H
Kanzaki
T
T
D000208:Acute Disease; D000368:Aged; D000818:Animals; D001992:Bronchoalveolar Lavage Fluid / Q000469:parasitology; D004064:Digestive System / Q000469:parasitology / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000469:parasitology*; D006801:Humans; D008099:Liver / Q000469:parasitology / Q000473:pathology; D008168:Lung / Q000469:parasitology / Q000473:pathology; D008171:Lung Diseases / Q000469:parasitology*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications*