October 21, 1974

Diffuse Pulmonary Infection due to Strongyloides stercoralis

Author Affiliations

From the Hematology Section, Veterans Administration Hospital (Drs. Rassiga and Forman), and the departments of medicine (Drs. Rassiga and Forman) and pathology (Dr. Lowry), Case Western Reserve University School of Medicine, Cleveland.

JAMA. 1974;230(3):426-427. doi:10.1001/jama.1974.03240030044024

A 55-year-old black man, a lifelong resident of Cleveland, with chronic lymphatic leukemia developed a fatal, massive, pulmonary infection with diffuse bilateral alveolar infiltrate on x-ray film. Bronchial washings and postmortem examination showed the infectious agent to be Strongyloides stercoralis. Pulmonary infection is a unique mode of presentation of disseminated strongyloidiasis. The absence of significant prior gastrointestinal symptoms and the occurrence in a temperate climate are especially noteworthy.

(JAMA 230:426-427, 1974)