[Massive haemoptysis associated with pulmonary Strongyloides stercoralis hyperinfestation].
BACKGROUND
Pulmonary infestation with Strongyloides stercoralis is an exceptionally rare cause of haemoptysis, the diagnosis being difficult and often delayed.


METHODS
We report the case of a retired coal miner suffering from pneumoconiosis who presented with acute respiratory insufficiency and massive haemoptysis, with a fatal outcome, associated with pulmonary stongyloidosis. The only identified source of infestation with Strongyloides stercoralis was his period in the coal mine and the only risk factors for the hyperinfestation were a short course of systemic corticosteroid therapy and the presence of a peritoneal-auricular valve.


CONCLUSIONS
This observation illustrates the importance of a systematic search for anguillosis in ex coal miners prior to any immunosuppressant treatment in order to avoid the serious and frequently fatal form of hyperinfestation with Strongyloides stercoralis.
Collet
F
F
Service d'urgence respiratoire et réanimation médicale, CHRU, Lille, France. f-collet@chru-lille.fr
Favory
R
R
Augusto
D
D
Moukassa
D
D
Dutoit
E
E
Mathieu
D
D
D000368:Aged; D000818:Animals; D003032:Coal Mining; D017809:Fatal Outcome; D006469:Hemoptysis / Q000469:parasitology*; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis*; D008297:Male; D012131:Respiratory Insufficiency / Q000469:parasitology; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000175:diagnosis*