Am. J. Respir. Crit. Care Med., Vol 151, No. 1, 01 1995, 205-209.
Restrictive pulmonary disease due to interlobular septal fibrosis associated with disseminated infection by Strongyloides stercoralis
AL Lin, N Kessimian and JO Benditt
Division of Pulmonary Medicine, Memorial Hospital of Rhode Island, Pawtucket.
Strongyloidiasis is caused by the nematode Strongyloides stercoralis. The
parasite has a unique life cycle that enables it to cause a hyperinfection
syndrome in which pulmonary involvement is characteristic. We describe the
case of a 68-yr-old Hispanic male from Puerto Rico with disseminated
strongyloidiasis who developed intense granulomatous reaction in the lung
associated with interlobular septal fibrosis. Granulomatous lung disease
leading to fibrosis within the lung has been well demonstrated in
schistosomiasis, another parasitic disease. This case represents the first
report, as far as we are aware, of fibrosis within the lung and restrictive
pulmonary disease in association with Strongyloides stercoralis.