KMID : 0882420090760040502
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Korean Journal of Medicine 2009 Volume.76 No. 4 p.502 ~ p.505
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Pulmonary Strongyloidiasis with alveolar hemorrhage in a patient receiving chemotherapy
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Kim Yoon-Jung
Ahn Myung-Ju Park Keun-Chil Lee Hui-Young Kim Kyung-Hee Byun Kyoung-Min Han Hye-Jin
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Abstract
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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.
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KEYWORD
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Strongyloides, Hemoptysis, Immunocompromised patient
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