Laboratory Findings on a Patient with Strongyloies Stercoralis Pulmonary Infection after Long Term Steroid Hormone and Immunosuppressive Treatment

Abstract

Background: Strongyloies stercoralis infection is common in tropical and humid areas worldwide. However, strongyloidiasis caused by Strongyloies stercoralis infection is often neglected in clinic. We report a misdiagnosed case of Strongyloies stercoralis infected female patient who had been admitted to four different hospitals for treatment, she eventually died upon Strongyloies stercoralis hyperinfection with pulmonary infection involved.Case presentation: A Strongyloies stercoralis infected woman was misdiagnosed as community acquired pneumonia, connective tissue disease and Sjogren's syndrome, and treated by mistake.She eventually died upon Strongyloies stercoralis hyperinfection with pulmonary infection involved. The patient’s clinical presentations, imaging results of the lungs, numerous Strongyloies Stercoralis larvae and eggs found in the stool, increased eosenophil count in peripheral blood, and elevated serological IgE level were evidences of Strongyloies stercoralis hyperinfection.Conclusion: The patient was infected with Strongyloies Stercoralis and died from the hyperinfection after long term use of immunosuppressive agents.