Pulmonary Strongyloides stercoralis Diffuse alveolar hemorrhage

n in infection is typically asymptomatic or self-limited, immunocompromised individuals can develop a severe form of disease marked by hyperinfection. Pulmonary involvement accompanies hyperinfection an pre (BAL) fluid revealed persistently hemorrhagic fluid. She was intu-bated and transferred to the ICU. Repeat WBC count was 24,000/ mm3 (7 % bands and 13 % eosinophils), platelets 348,000/mm3, and prothrombin time 13.9 s. Given bronchoscopic evidence of DAH, she was treated with 1 g of methylprednisolone daily for two days. Prior to methylprednisolone, she received a dose of oral ivermectin (200 mcg/kg). The following day, BAL fluid returned positive for Strongyloides stercoralis (Fig. 2). Corticosteroids were discontinued. Abbreviations: BAL, bronchoalveolar lavage; CIDP, chronic inflammatory demy-elinating polyneuropathy; DAH, diffuse alveolar hemorrhage; ICU, intensive car