An unusual presentation of alveolar hemorrhage.
We report the case of a female patient with an atypical case of alveolar haemorrhage secondary to disseminated strongyloidiasis. Although uncommon, clinicians should consider the diagnosis of pneumonia by disseminated strongyloidiasis in patients with endemic exposure to Strongyloides stercoralis who present with symptoms of cough, wheezing, and dyspnoea. Primary care physicians should strongly consider screening for strongyloidiasis in patients from endemic areas prior to considering the use of steroids or any other immunosuppressants. The best screening test would be serological testing.
Román-Vélez
Jesús M
JM
Pulmonary Training Program, San Juan City Hospital, Puerto Rico. manuelroman07@gmail.com
Martínez-Camacho
Ruth N
RN
Alayón-Laguer
Diógenes
D
Fernández-González
Ricardo
R
Reyes-Sosa
Raul
R
Santos-Llanos
Glorimar
G
Colón-Pérez
Miguel
M
Ferrer
Dimas
D
D000818:Animals; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000469:parasitology*; D006801:Humans; D008875:Middle Aged; D011650:Pulmonary Alveoli / Q000469:parasitology*; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000150:complications* / Q000175:diagnosis