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Volume 18 Issue 4 December 2009

Case Report

An unusual presentation of alveolar hemorrhage

Pages 337-339
*Jesús M Román-Véleza, Ruth N Martínez-Camachob, Diógenes Alayón-Laguerb, Ricardo Fernández-Gonzáleza, Raul Reyes-Sosaa, Glorimar Santos-Llanosa, Miguel Colón-Péreza, Dimas Ferrera

a Pulmonary Training Program, San Juan City Hospital, Puerto Rico

b Internal Medicine Program, San Juan City Hospital, Puerto Rico

Online 28 November 2009

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.

Cite as: Roman-Velez JM, Martinez-Camacho RN, Alayon-Laguer D, Fernandez-Gonzalez R, Reyes-Sosa R, Santos-Llanos G, Colon-Perez M, Ferrer D. An unusual presentation of alveolar hemorrhage. Prim Care Respir J 2009;18(4):337-339. DOI: http://dx.doi.org/10.4104/pcrj.2009.00049

Strongyloides stercoralis, pneumonia, disseminated strongyloidiasis, alveolar haemorrhage, immunocompetent

* Corresponding author. Jesús M Román-Vélez Tel: 787-765-3692 Email: manuelroman07@gmail.com