A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient
Strongyloides stercoralis is an intestinal nematode with both free-living and parasitic stages and is common in the tropics. We present the case of a 65-year-old male presented with breathlessness, productive cough, hemoptysis, and fever and admitted with provisional diagnosis of acute exacerbation...
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| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | APIK Journal of Internal Medicine |
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| Online Access: | https://journals.lww.com/10.4103/ajim.ajim_131_22 |
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| author | M. Mahendra M. T. Rashmitha Santosh Patil |
| author_facet | M. Mahendra M. T. Rashmitha Santosh Patil |
| author_sort | M. Mahendra |
| collection | DOAJ |
| description | Strongyloides stercoralis is an intestinal nematode with both free-living and parasitic stages and is common in the tropics. We present the case of a 65-year-old male presented with breathlessness, productive cough, hemoptysis, and fever and admitted with provisional diagnosis of acute exacerbation of chronic obstructive pulmonary disease. Sputum investigations were sent and showed rhabditiform larva of S. stercoralis, and the screening test for HIV antibody was negative. Other laboratory parameters were within the normal limits. His chest computed tomography showed centrilobular nodules and paraseptal emphysematous changes. He was thereby diagnosed to be a case of pulmonary hyperinfection strongyloidiasis and started on ivermectin and albendazole in addition to antibiotics, his respiratory symptoms improved, and S. stercoralis was not detected in subsequent follow-up examinations thereafter. |
| format | Article |
| id | doaj-art-b9632048c4e04b628a86be1c62bc180d |
| institution | Kabale University |
| issn | 2666-1802 2666-1810 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | APIK Journal of Internal Medicine |
| spelling | doaj-art-b9632048c4e04b628a86be1c62bc180d2025-08-20T03:31:40ZengWolters Kluwer Medknow PublicationsAPIK Journal of Internal Medicine2666-18022666-18102025-07-0113322122310.4103/ajim.ajim_131_22A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease PatientM. MahendraM. T. RashmithaSantosh PatilStrongyloides stercoralis is an intestinal nematode with both free-living and parasitic stages and is common in the tropics. We present the case of a 65-year-old male presented with breathlessness, productive cough, hemoptysis, and fever and admitted with provisional diagnosis of acute exacerbation of chronic obstructive pulmonary disease. Sputum investigations were sent and showed rhabditiform larva of S. stercoralis, and the screening test for HIV antibody was negative. Other laboratory parameters were within the normal limits. His chest computed tomography showed centrilobular nodules and paraseptal emphysematous changes. He was thereby diagnosed to be a case of pulmonary hyperinfection strongyloidiasis and started on ivermectin and albendazole in addition to antibiotics, his respiratory symptoms improved, and S. stercoralis was not detected in subsequent follow-up examinations thereafter.https://journals.lww.com/10.4103/ajim.ajim_131_22chronic obstructive pulmonary diseaseivermectinpulmonary hyperinfectionstrongyloides stercoralis |
| spellingShingle | M. Mahendra M. T. Rashmitha Santosh Patil A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient APIK Journal of Internal Medicine chronic obstructive pulmonary disease ivermectin pulmonary hyperinfection strongyloides stercoralis |
| title | A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient |
| title_full | A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient |
| title_fullStr | A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient |
| title_full_unstemmed | A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient |
| title_short | A Rare Cause of Hemoptysis in a Chronic Obstructive Pulmonary Disease Patient |
| title_sort | rare cause of hemoptysis in a chronic obstructive pulmonary disease patient |
| topic | chronic obstructive pulmonary disease ivermectin pulmonary hyperinfection strongyloides stercoralis |
| url | https://journals.lww.com/10.4103/ajim.ajim_131_22 |
| work_keys_str_mv | AT mmahendra ararecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient AT mtrashmitha ararecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient AT santoshpatil ararecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient AT mmahendra rarecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient AT mtrashmitha rarecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient AT santoshpatil rarecauseofhemoptysisinachronicobstructivepulmonarydiseasepatient |