An Unusual Cause of Bilateral Pneumothoraces

Abstract

Pulmonary strongyloidiasis is an unusual manifestation of Strongyloides stercoralis infection typically seen in the immunocompromised patients. We report a case of Strongyloides hyperinfection in a patient with chronic obstructive pulmonary disease (COPD) who presented with bilateral pneumothoraces and pneumomediastinum. This is a rare presentation of the parasitic infection. An incidental finding of Strongyloides larvae in the respiratory secretions unexpectedly clinched the diagnosis and helped manage the patient optimally.