title: An unusual presentation of alveolar hemorrhage.
abstract: 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.
authors.affiliation: Pulmonary Training Program, San Juan City Hospital, Puerto Rico. manuelroman07@gmail.com
authors.forename: Jesús M
authors.initials: JM
authors.lastname: Román-Vélez
authors.forename: Ruth N
authors.initials: RN
authors.lastname: Martínez-Camacho
authors.forename: Diógenes
authors.initials: D
authors.lastname: Alayón-Laguer
authors.forename: Ricardo
authors.initials: R
authors.lastname: Fernández-González
authors.forename: Raul
authors.initials: R
authors.lastname: Reyes-Sosa
authors.forename: Glorimar
authors.initials: G
authors.lastname: Santos-Llanos
authors.forename: Miguel
authors.initials: M
authors.lastname: Colón-Pérez
authors.forename: Dimas
authors.initials: D
authors.lastname: Ferrer
mesh_terms: 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