| Pulmonary Strongyloidiasis with alveolar hemorrhage in a patient receiving chemotherapy |
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Yoon-Jung Kim, Myung-Ju Ahn, Keun-Chil Park, Hui Young Lee, Kyung-Hee Kim, Kyung-Min Byeon, Hye-Jin Han |
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| 항암치료를 받은 소세포폐암 환자에서 폐포 출혈을 동반한 폐 분선충 감염 |
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김윤정, 안명주, 박근칠, 이희영, 김경희, 변경민, 한혜진 |
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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. (Korean J
Med 76:502-505, 2009) |
| Key Words:
Strongyloides; Hemoptysis; Immunocompromised patient |
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